Active NPI
Beverly Bailey
- Professional Counselor
- Austin, TX
National Provider Identifier
1629805056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17114
- Practice address
- 2021 Guadalupe St Ste 260
Austin, TX 78705-5654 - Phone
- (646) 941-7645
- Fax
- (929) 596-7897
- NPI assigned
- Sep 18, 2024
- Last updated
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17114 | TX | Primary |
Addresses
Primary practice location
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Mailing address
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Phone (646) 941-7645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 University Dr E
Suite 105
College Station, TX 77840-1700
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17114 | TX | MD | Speech-Language Pathologist |
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, 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": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1629805056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 GUADALUPE ST STE 260",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787055654",
"telephone_number": "646-941-7645",
"fax_number": "929-596-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 GUADALUPE ST STE 260",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787055654",
"telephone_number": "646-941-7645",
"fax_number": "929-596-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "BEVERLY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Salina Bahk
- Dallas Elliott Bailes, MD
- Bailey Plastic Surgery PLLC (Bailey Plastic Surgery)
- Bailey Square Ambulatory Surgical Center, LTD (Bailey Square Surgery Center)
- Amanda Gail Bailey, LMSW
- Catherine Elizabeth Bailey, APRN-CNP, PMHNP-BC
- Charles Edward Bailey, MD.
- Elizabeth Goodman Bailey, MA, CCC-SLP
- Erica Bailey
- Helen Bailey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.