Individual provider Active NPI

Camika L. Bailey, LPC

  • Professional Counselor
  • Rustburg, VA
National Provider Identifier
1669624235
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004416 Issued in VA
Practice address
37 Village Hwy
Rustburg, VA 24588-4112
Phone
(434) 332-5149
Fax
(434) 332-1819
NPI assigned
Oct 15, 2008
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 0701004416 VA Primary

Addresses

Primary practice location

37 Village Hwy
Rustburg, VA 24588-4112

Mailing address

2215 Langhorne Rd
Lynchburg, VA 24501-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20231211002886 VA Practitioner - Mental Health Counselor 4284083692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Behavioral HealthGroup PAC ID 5092791814, 37 clinicians

Practice addresses (Care Compare)

37 Village Hwy
Rustburg, VA 24588-4112
Phone (434) 332-5149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701004416VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2215 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 948-4831

2235 Landover Pl
Lynchburg, VA 24501
Phone (434) 847-8000

37 Village Hwy
Rustburg, VA 24588
Phone (434) 332-5149

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1669624235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 VILLAGE HWY",
            "city": "RUSTBURG",
            "state": "VA",
            "postal_code": "245884112",
            "telephone_number": "434-332-5149",
            "fax_number": "434-332-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CAMIKA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rustburg, VA

Sources for this page

Verify at the official NPI Registry.