Carole S. Bailey, LCPC-C

Primary specialty

CounselorTaxonomy code 101Y00000X

License

XL4088 Issued in ME

Practice address

157 Park St
Suite 5
Bangor, ME 04401-5093

Phone

(207) 992-0410

Fax

(207) 992-0414

NPI assigned

Jun 18, 2013

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

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Behavioral Healthcare, LLC

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1215102850
  Medicare reassignment NPD
• Appleton Medical Center

  • Primary Care Clinic/Center
  • Hampden, ME
  • NPI 1902229040
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1306285895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PARK ST",
            "address_2": "SUITE 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015093",
            "telephone_number": "207-992-0410",
            "fax_number": "207-992-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARK ST",
            "address_2": "SUITE 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015093",
            "telephone_number": "207-992-0410",
            "fax_number": "207-992-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CAROLE",
        "middle_name": "S.",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "XL4088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Dudley Bach, MD
• Chimdindu N Badejo, NP
• Maria Magdalena Baeza, MSW
• Isatu Bah, DDS
• Brent Stephen Bailey, CRC, LSW
• Erika Lynn Bailey, RPH
• Mary-Ellen Bailey, OTR/L
• Ronald Woodrow Bailey, DMD
• Deborah J Bailly, LADC, CCS, LCSW
• Amber Renee Baird, MS, CNS CANDIDATE

• Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.