Pontress Bailey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

009720 Issued in GA

Practice address

3100 Gentian Blvd Ste 5B
Columbus, GA 31907-2678

Phone

(706) 940-2503

NPI assigned

Sep 4, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1639697261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 FLINTLOCK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31907",
            "telephone_number": "706-536-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GENTIAN BLVD STE 5B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319072678",
            "telephone_number": "706-940-2503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9067 Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "31820",
            "country_code": "US",
            "telephone_number": "706-641-9663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3253 Flintlock Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319072972",
            "country_code": "US",
            "telephone_number": "706-536-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "PONTRESS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-04",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "009720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Columbus, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.