Individual provider Active NPI

Bailey Nicole Pittman, MS, LPC

  • Mental Health Counselor
  • Grapevine, TX
National Provider Identifier
1558111401
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
85264 Issued in TX
Practice address
1701 W Northwest Hwy Ste 100
Grapevine, TX 76051-8145
Phone
(817) 290-6908
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 85264 TX Primary

Addresses

Primary practice location

1701 W Northwest Hwy Ste 100
Grapevine, TX 76051-8145

Mailing address

2025 N Hill Dr
Irving, TX 75038-6217
Phone (214) 886-9075

Other practice location 1

2602 McKinney Ave Ste 105
Dallas, TX 75204-0710
Phone (214) 444-3649

Other names 1

  • Bailey Nicole Eschle Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
85264TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Therapy Group CurrentSince Apr 6, 2025 Accepting new patients

Locations

1701 W Northwest Hwy
Ste 100
Grapevine, TX 76051
Phone (817) 416-1235

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1558111401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N HILL DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386217",
            "telephone_number": "214-886-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W NORTHWEST HWY STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518145",
            "telephone_number": "817-290-6908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 McKinney Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752040710",
            "country_code": "US",
            "telephone_number": "214-444-3649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "BAILEY",
        "middle_name": "NICOLE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "ESCHLE",
            "middle_name": "NICOLE",
            "credential": "LPC-ASSOCIATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.