Individual provider Active NPI

Judy Carol Bailey, LPCC

  • Professional Counselor
  • Corbin, KY
National Provider Identifier
1396430641
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
276907 Issued in KY
Practice address
6924 S US Highway 25
Corbin, KY 40701-4956
Phone
(606) 515-9823
NPI assigned
Apr 11, 2023
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 276907 KY Primary

Addresses

Primary practice location

6924 S US Highway 25
Corbin, KY 40701-4956

Mailing address

PO Box 283
Lily, KY 40740-0283
Phone (606) 515-9823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240110001817 KY Practitioner - Mental Health Counselor 3870944242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practitioner Services PLLCGroup PAC ID 6305150954, 7 clinicians

Practice addresses (Care Compare)

1102 S Main St
London, KY 40741-1529
Phone (606) 770-6121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
276907KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Practitioner Services PLLC Professional CurrentSince Jan 8, 2024 Accepting new patients
Practitioner Services PLLC CurrentSince Jan 8, 2024 Accepting new patients
Kentucky Counseling Center, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

1102 S Main St
London, KY 40741
Phone (606) 770-5121

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (270) 216-2640

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1396430641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "LILY",
            "state": "KY",
            "postal_code": "407400283",
            "telephone_number": "606-515-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 S US HIGHWAY 25",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014956",
            "telephone_number": "606-515-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JUDY",
        "middle_name": "CAROL",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "276907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.