Thomas E Bailor

Individual provider Active NPI Mental Health Counselor · Pendleton, OR

NPI 1316409261 · NPPES record last updated Apr 1, 2019

Key facts

NPI: 1316409261
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 2575 Westgate BLDG 3
Pendleton, OR 97801-9613
Phone: (541) 276-6330
Fax: (541) 276-6295
NPI assigned: Apr 1, 2019
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Community Counseling Solutions Addiction (Substance Use Disorder) Counselor · Heppner, OR · NPI 1578501771

NPD (past) MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Community Counseling Solutions	Mental Health	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

2575 Westgate BLDG 3
Pendleton, OR 97801-9613

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170

Other providers in Pendleton, OR

All providers in Pendleton, OR · Mental Health Counselor in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.