Active NPI
Katherine Bailin
- Professional Counselor
- Maumee, OH
National Provider Identifier
1659874758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1000231
- Practice address
- 1446 Reynolds Rd Ste 301
Maumee, OH 43537-1634 - Phone
- (419) 720-5800
- Fax
- (419) 720-4444
- NPI assigned
- Mar 14, 2018
- Last updated
- Mar 17, 2018
- 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 | C.1000231 | OH | Primary |
Addresses
Primary practice location
1446 Reynolds Rd Ste 301
Maumee, OH 43537-1634
Mailing address
8004 Silverstone Dr
Waterville, OH 43566-9434
Phone (419) 262-4892
Other practice location 1
5565 Airport Hwy Ste 100
Toledo, OH 43615-7391
Phone (419) 720-5800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1000231 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Willow Center | Past | Accepting new patients |
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": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1659874758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8004 SILVERSTONE DR",
"city": "WATERVILLE",
"state": "OH",
"postal_code": "435669434",
"telephone_number": "419-262-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446 REYNOLDS RD STE 301",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371634",
"telephone_number": "419-720-5800",
"fax_number": "419-720-4444"
}
],
"practiceLocations": [
{
"address_1": "5565 Airport Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436157391",
"country_code": "US",
"telephone_number": "419-720-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILIN",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1000231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.