Brandon Kyle Bailys, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180010969 Issued in IL

Practice address

2402 N Lincoln Ave
Chicago, IL 60614-2415

Phone

(440) 785-7802

Fax

(440) 785-7802

NPI assigned

May 30, 2017

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Behavioral Health Center

  • Adult Mental Health Clinic/Center
  • Solon, OH
  • NPI 1174066096
  Medicare reassignment NPD
• Thrive Behavioral Health Center Inc

  • Recovery Care Clinic/Center
  • Solon, OH
  • NPI 1790206613
  NPD

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568990968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142415",
            "telephone_number": "440-785-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142415",
            "telephone_number": "440-785-7802",
            "fax_number": "440-785-7802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Michigan Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113754",
            "country_code": "US",
            "telephone_number": "550-785-7802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILYS",
        "first_name": "BRANDON",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180010969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jay Bailin, M.D.
• John M. Bailitz, M.D.
• Sara Jean Baillie, MA BCBA
• Mayra A Bailon, LCSW
• Shelbi Bailor, L.AC.
• Adam D Baim, MD, PHD
• Howard M. Baim, M.D.
• Sanford Baim, M.D.
• Emma Baime, MS, CF-SLP
• Michelle Bene Bain, M.D.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.