Nicole Diane Baylies, LPC LCADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00747400

Practice address

32 S Main St Ste D
Medford, NJ 08055-2455

Phone

(856) 617-4544

NPI assigned

Mar 26, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Meridian Counseling Services

  • Clinical Social Worker
  • Haddon Heights, NJ
  • NPI 1306220942
  NPD (past)

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1316749518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 EATON RD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052716",
            "telephone_number": "609-668-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST STE D",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552455",
            "telephone_number": "856-617-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351703",
            "country_code": "US",
            "telephone_number": "856-617-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYLIES",
        "first_name": "NICOLE",
        "middle_name": "DIANE",
        "credential": "LPC LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00312200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "37PC00747400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric W. Bantz, M.D.
• Todd M. Barge, MPT
• Lacretia Renee Barnes, LPN,LMT
• John Barnett
• Jeanne Marie Bauer, M.A., L.P.C.
• Be Yourself ABA
• Mary A Beck, LCSW
• Tammy Lynn Beckett
• Patricia Behrend, OPTICIAN
• John Dante Benedetto, DPT

• Professional Counselor in Medford, NJ
• Providers in Medford, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.