Christina Michele Bailey, LPCC
Individual provider Active NPI Professional Counselor · Glasgow, KY
NPI 1730764432 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1730764432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 287332 (KY)
- Practice address
- 106 W Front St
Glasgow, KY 42141-2804 - Phone
- (270) 904-5104
- NPI assigned
- Mar 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- KW Consulting LLC
Practice addresses (Care Compare)
5966 Scottsville Rd
Suite 3
Bowling Green, KY 42104-7908
Phone (270) 904-5104
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240209001210 | KY | Practitioner - Mental Health Counselor | 4789027467 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287332 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KW Consulting, LLC | Mental Health | Current |
Accepting new patients |
| Fuller Life Health and Wellness | Past |
Accepting new patients |
Locations
5966 Scottsville Rd
Ste 3
Bowling Green, KY 42104
Phone (270) 791-8189
122 Ensminger Dr
Glasgow, KY 42141
Phone (270) 904-5104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 287332 | KY | Yes |
Addresses
Primary practice location
106 W Front St
Glasgow, KY 42141-2804
Mailing address
3247 Matthews Mill Rd
Glasgow, KY 42141-8478
Phone (760) 985-2039
Other providers in Glasgow, KY
- Anesthesiology Associates of Glasgow PSC
- Anesthesiology Associates of Glasgow, PSC
- Dax Astankova
- Todd A. Bader
- Sachin Vimal Bahadur
- Kelvin T Bailey
- Joseph Luke Baise
- Kelly Baker
- Phillip W Bale
- Tonya Ballard
All providers in Glasgow, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.