Individual provider Active NPI

Bailey Noel Westerfield Anderson, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1306351440
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1283 Kelly Johnson Blvd Ste 200
Colorado Springs, CO 80920-3925
Phone
(719) 722-9089
NPI assigned
Dec 12, 2017
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Behavior Technician 106S00000X CD60772874 WA

Addresses

Primary practice location

1283 Kelly Johnson Blvd Ste 200
Colorado Springs, CO 80920-3925

Mailing address

1530 York Rd
Colorado Springs, CO 80918-1031
Phone (719) 722-9089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20240423000634 CO Practitioner - Mental Health Counselor 7113366295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CD60772874WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurofeedback Colorado Springs, Inc. Professional CurrentSince Mar 19, 2024 Accepting new patients
Neurofeedback Colorado Springs, Inc. PastSince Mar 19, 2024 Accepting new patients

Locations

1283 Kelly Johnson Blvd
Ste 200
Colorado Springs, CO 80920
Phone (719) 413-6776

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1306351440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 YORK RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181031",
            "telephone_number": "719-722-9089",
            "fax_number": "719-722-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 KELLY JOHNSON BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203925",
            "telephone_number": "719-722-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BAILEY",
        "middle_name": "NOEL WESTERFIELD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2024-04-10",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CD60772874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.