Kristina Bailey, BA,MHP
Individual provider Active NPI Counselor · Metropolis, IL
NPI 1487101796 · NPPES record last updated Sep 2, 2016
Key facts
- NPI
- 1487101796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 206 W 5TH St
Metropolis, IL 62960-1810 - Phone
- (618) 524-9368
- NPI assigned
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
206 W 5TH St
Metropolis, IL 62960-1810
Mailing address
206 W 5TH St
Metropolis, IL 62960-1810
Phone (618) 524-9368
Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.