NPIMap

Individual provider Active NPI

Kendra J Bailey, LMHC

  • Mental Health Counselor
  • Cedar Rapids, IA
National Provider Identifier
1366640708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001032 Issued in IA
Practice address
5925 Council St NE
Suite 120
Cedar Rapids, IA 52402-5878
Phone
(319) 393-6796
Fax
(319) 378-8621
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 001032 IA Primary

Addresses

Primary practice location

5925 Council St NE
Suite 120
Cedar Rapids, IA 52402-5878

Mailing address

5925 Council St NE
Suite 120
Cedar Rapids, IA 52402-5878
Phone (319) 393-6796

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Brief Therapy Mental Health Past Accepting new patients
Cornerstone Brief Therapy, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366640708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 COUNCIL ST NE",
            "address_2": "SUITE 120",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025878",
            "telephone_number": "319-393-6796",
            "fax_number": "319-378-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 COUNCIL ST NE",
            "address_2": "SUITE 120",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025878",
            "telephone_number": "319-393-6796",
            "fax_number": "319-378-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KENDRA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.