Bailey Huddleston, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

73998 Issued in TX

Practice address

10260 N Central Expy Ste 280
Dallas, TX 75231-3466

Phone

(469) 389-0044

NPI assigned

Feb 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 2, 2024 through Mar 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Grove Counseling & Wellness Center

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1982237913
  NPD

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1730712589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 LLANO AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143316",
            "telephone_number": "432-889-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 N CENTRAL EXPY STE 280",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313466",
            "telephone_number": "469-389-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "BAILEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip J Huber Jr., MD
• Hannah Hubner, CGC
• Joshua John Hubregsen, MD
• William Price Huckin III, D.D.S.
• Austin Joe Huddleston, MD
• Boglarka S. Huddleston
• Christina Huddleston, M.D.
• Thomas Kevin Huddleston, CRNA
• Shurekkia Shantrice Hudgen, AGACNP-BC
• Emorie Paige Hudgins, NP

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.