Active NPI
Bailey Caroline Amis
- Professional Counselor
- Chicago, IL
National Provider Identifier
1720662448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 30 N Michigan Ave
Chicago, IL 60602-3402 - Phone
- (312) 725-3093
- NPI assigned
- May 9, 2021
- Last updated
- Aug 25, 2021
- 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 | NU | Primary |
Addresses
Primary practice location
30 N Michigan Ave
Chicago, IL 60602-3402
Mailing address
2516 W Medill Ave Apt 1
Chicago, IL 60647-5174
Phone (918) 230-5189
Other practice location 1
2755 N Pine Grove Ave
Chicago, IL 60614-6109
Phone (918) 230-5189
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bamis@concentricchicago.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bailey Amis Counseling | Professional | Current | 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": "1620518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1720662448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 W MEDILL AVE APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475174",
"telephone_number": "918-230-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023402",
"telephone_number": "312-725-3093"
}
],
"practiceLocations": [
{
"address_1": "2755 N Pine Grove Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606146109",
"country_code": "US",
"telephone_number": "918-230-5189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMIS",
"first_name": "BAILEY",
"middle_name": "CAROLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-09",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bamis@concentricchicago.com",
"affiliation": "N",
"endpointDescription": "HIPAA Compliant Email",
"address_1": "30 N Michigan Ave Ste 1217",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606023732",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.