Aubrie Nicole Bayless, LPC, DCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3377 Wagonwheel Rd
Edmond, OK 73034-5810

Phone

(405) 245-6218

NPI assigned

Jan 20, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Aubrie Nicole Hodson Bayless Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Seasons of Change Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Edmond, OK
  • NPI 1821405770
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730410457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 WAGONWHEEL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345810",
            "telephone_number": "405-245-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 WAGONWHEEL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345810",
            "telephone_number": "405-245-6218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4709 NW 46th Dr",
            "address_purpose": "LOCATION",
            "city": "Warr Acres",
            "state": "OK",
            "postal_code": "731225308",
            "country_code": "US",
            "telephone_number": "405-245-6218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 S Fretz Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730035570",
            "country_code": "US",
            "telephone_number": "405-726-9808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "AUBRIE",
        "middle_name": "NICOLE",
        "credential": "LPC, DCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200357230B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBRIE",
            "last_name": "HODSON BAYLESS",
            "middle_name": "NICOLE",
            "credential": "M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mental Health Counselor in Edmond, OK
• Providers in Edmond, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.