Justin Tyler Bailey

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1902 Harper Rd Ste Abc
Beckley, WV 25801-2642

Phone

(304) 253-3000

Fax

(304) 929-2038

NPI assigned

Jan 7, 2020

Last updated

Apr 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Surg Physician Group, IncGroup PAC ID 2365710761, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16151/brand/2/csg/1/fhir/r4
• Direct secure messaging: justin.bailey.1@16151.direct.athenahealth.com

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.

• Med Surg Physician Group, Inc.

  • Specialist
  • Beckley, WV
  • NPI 1063943678
  Medicare reassignment Care Compare group NPD
• Med Surg Physician Group, Inc.

  dba Elena Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Beckley, WV
  • NPI 1083373997
  NPD
• Southern Highlands Community Mental Health Center, Inc.

  dba Southern Highlands Community Mental Health Center

  • Community/Behavioral Health Agency
  • Princeton, WV
  • NPI 1740234673

  Counselor

  NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1508406612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 HARPER RD STE ABC",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012642",
            "telephone_number": "304-253-3000",
            "fax_number": "304-929-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 HARPER RD STE ABC",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012642",
            "telephone_number": "304-253-3000",
            "fax_number": "304-929-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JUSTIN",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005489001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don Alvin Bailey Jr.
• Erica Dawn Bailey, CRNA
• Jacob Bailey, COTA/L
• Joanne Bailey
• Jonnathan E. Bailey, CRNA
• Kandi Marie Bailey
• Kevin Heath Bailey, DDS
• Paul Andrew Bailey, ATC
• Rae Anne Bailey, D.O.
• Sharon Kaye Bailey, C-FNP

• Counselor in Beckley, WV
• Providers in Beckley, WV by specialty
• Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.

Verify at the official NPI Registry.