Active NPI
Dominique Bailey
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1467076554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61560158
- Practice address
- Washington Registered Agent, LLC.
100 N Howard Street Suite W
Spokane, WA 99201 - Phone
- (850) 755-1111
- NPI assigned
- Jun 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61560158 | WA | Primary |
Addresses
Primary practice location
Washington Registered Agent, LLC.
100 N Howard Street Suite W
Spokane, WA 99201
Mailing address
Washington Registered Agent, LLC.
100 N Howard Street Suite W
Spokane, WA 99201
Phone (850) 755-1111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61560158 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1467076554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WASHINGTON REGISTERED AGENT, LLC.",
"address_2": "100 N HOWARD STREET SUITE W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99201",
"telephone_number": "850-755-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WASHINGTON REGISTERED AGENT, LLC.",
"address_2": "100 N HOWARD STREET SUITE W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99201",
"telephone_number": "850-755-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "DOMINIQUE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-03",
"last_updated": "2024-05-21",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61560158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.