Bailey Elizabeth Wahlquist, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

141 Market PL
Suite 206
Fairview Heights, IL 62208-2034

Phone

(618) 398-7250

Fax

(618) 398-6870

NPI assigned

Oct 1, 2008

Last updated

Nov 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bailey Elizabeth Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1275784837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MARKET PL",
            "address_2": "SUITE 206",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082034",
            "telephone_number": "618-398-7250",
            "fax_number": "618-398-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MARKET PL",
            "address_2": "SUITE 206",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082034",
            "telephone_number": "618-398-7250",
            "fax_number": "618-398-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLQUIST",
        "first_name": "BAILEY",
        "middle_name": "ELIZABETH",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12287066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "WILLIAMS",
            "middle_name": "ELIZABETH",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Counselor in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.