Individual provider Active NPI

Bailey Lynn Marcucci, MA, ATR-BC, LPC, NCC

  • Art Therapist
  • Philadelphia, PA
National Provider Identifier
1518711027
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
21-115
Practice address
416 Queen St
Philadelphia, PA 19147-3094
Phone
(609) 694-8324
NPI assigned
Apr 12, 2024
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC015464 PA
Art Therapist 221700000X 21-115 Primary

Addresses

Primary practice location

416 Queen St
Philadelphia, PA 19147-3094

Mailing address

416 Queen St
Philadelphia, PA 19147-3094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241219000497 PA Practitioner - Mental Health Counselor 4880121581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liv Well Associates IncGroup PAC ID 6002060332, 24 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Suite 101
Warminster, PA 18974-2013
Phone (215) 394-8625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC015464PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Liv Associates, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Liv Well Associates PastSince Nov 1, 2024 Accepting new patients

Locations

1200 Old York Rd
Ste 101
Warminster, PA 18974
Phone (215) 394-8625

Organizations & group practices 2

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": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1518711027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 QUEEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 QUEEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473094",
            "telephone_number": "609-694-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUCCI",
        "first_name": "BAILEY",
        "middle_name": "LYNN",
        "credential": "MA, ATR-BC, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015464",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "21-115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.