Active NPI
Karina T Bailey
- Professional Counselor
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014073
- Practice address
- 625 S Marietta Pkwy SE
Marietta, GA 30060-2748 - Phone
- (470) 377-7228
- Fax
- (470) 467-7583
- NPI assigned
- Mar 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC014073 | GA | Primary |
Addresses
Primary practice location
625 S Marietta Pkwy SE
Marietta, GA 30060-2748
Mailing address
2500 Dallas Hwy SW # 202-1511
Marietta, GA 30064-2567
Phone (610) 675-3733
Other practice location 1
2500 Dallas Hwy SW # 202-1511
Marietta, GA 30064-2567
Phone (610) 675-3733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
200 2ND Ave
Suite 356
Saint Petersburg, FL 33701-4313
PO Box
Atlanta, GA 30374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014073 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health of Georgia PC | Current | Accepting new patients | |
| Thriving Lane | Current | Accepting new patients | |
| Transitional Family Sevices | Past | Accepting new patients |
Locations
200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515
2801 Buford Hwy NE
Ste T10
Brookhaven, GA 30329
Phone (404) 397-8302
625 S Marietta Pkwy SE
Marietta, GA 30060
Phone (470) 377-7228
1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134
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.
-
- Primary Care Clinic/Center
- Stone Mountain, GA
- NPI 1588258024
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1972946218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1376083675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 DALLAS HWY SW # 202-1511",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300642567",
"telephone_number": "610-675-3733",
"fax_number": "267-433-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S MARIETTA PKWY SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300602748",
"telephone_number": "470-377-7228",
"fax_number": "470-467-7583"
}
],
"practiceLocations": [
{
"address_1": "2500 Dallas Hwy SW # 202-1511",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300642567",
"country_code": "US",
"telephone_number": "610-675-3733",
"fax_number": "267-433-3994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "KARINA",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-06",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC014073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.