Individual provider Active NPI

Bailey Jacobs

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1669272274
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025008085 Issued in MO
Practice address
1420 NW Vivion Rd Ste 108
Kansas City, MO 64118-4511
Phone
(816) 366-5515
NPI assigned
Mar 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2025008085 MO Primary

Addresses

Primary practice location

1420 NW Vivion Rd Ste 108
Kansas City, MO 64118-4511

Mailing address

19612 E 18TH Ter S
Independence, MO 64057-2170
Phone (615) 517-4837

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

LicenseStateTypeSpecialty
2025008085MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holly L. Ramaeker Professional CurrentSince Jul 6, 2026 Accepting new patients

Locations

1420 NW Vivion Rd
Ste 108
Kansas City, MO 64118
Phone (816) 329-9107

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": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1669272274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19612 E 18TH TER S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572170",
            "telephone_number": "615-517-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 NW VIVION RD STE 108",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184511",
            "telephone_number": "816-366-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025008085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.