Active NPI
Bailey Niall
- Mental Health Counselor
- Federal Way, WA
National Provider Identifier
1366093221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61443092
- Practice address
- 33505 13TH PL S
Federal Way, WA 98003-6337 - Phone
- (206) 888-0651
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | LH61443092 | WA | Primary |
Addresses
Primary practice location
33505 13TH PL S
Federal Way, WA 98003-6337
Mailing address
33505 13TH PL S
Federal Way, WA 98003-6337
Phone (206) 888-0651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 4, 2026 through Feb 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61443092 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1366093221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33505 13TH PL S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036337",
"telephone_number": "206-888-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33505 13TH PL S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036337",
"telephone_number": "206-888-0651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIALL",
"first_name": "BAILEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61443092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.