Individual provider Active NPI

Nykea Lashawn Bailey, LCMHCA

  • Mental Health Counselor
  • Elizabeth City, NC
National Provider Identifier
1336730357
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16245 Issued in NC
Practice address
711 Roanoke Ave
Elizabeth City, NC 27909-5643
Phone
(252) 202-5928
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16245 NC Primary

Addresses

Primary practice location

711 Roanoke Ave
Elizabeth City, NC 27909-5643

Mailing address

711 Roanoke Ave
Elizabeth City, NC 27909-5643
Phone (252) 202-5928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250529001195 NC Practitioner - Mental Health Counselor 3779934690 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16245NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Regional Health Services CurrentSince Jan 1, 2024 Accepting new patients
Brightside Medical of New Jersey, P.C. CurrentSince May 1, 2025 Accepting new patients
Albemarle Regional Health Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

711 Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 338-4370

3064 Wake Forest Rd
Raleigh, NC 27609
Phone (415) 360-3349

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1336730357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ROANOKE AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095643",
            "telephone_number": "252-202-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ROANOKE AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095643",
            "telephone_number": "252-202-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "NYKEA",
        "middle_name": "LASHAWN",
        "name_prefix": "Ms.",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.