Jessica Marie Bailey, MS, NCC, LCMHCA

Key facts

NPI

1306506571

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

A17205 (NC)

Practice address

737 E Main St
Spindale, NC 28160-1938

Phone

(704) 466-0162

NPI assigned

Dec 29, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 29, 2021.

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1306506571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BROOKLEE DR",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280864155",
            "telephone_number": "803-300-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 E MAIN ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601938",
            "telephone_number": "704-466-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spindale, NC

• Arise Emotion and Mental Health, PLLC
• Angela Dawn Ashley, FNP-BC
• Kimberley M Austin, PMHNP-BC
• Andrew Paul Baglia, MOTR/L
• Holly C Bailey, PHARMD
• Christina L Battle, LCMHCA
• Lauren Bennett
• Brittany Black, LCMHC-A
• Brian Caleb Bloem
• Blue Ridge Community Health Services, Inc.

All providers in Spindale, NC · Mental Health Counselor in North Carolina