Individual provider Active NPI

Brent L Bailey Jr., APCC

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1740871839
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22681 Issued in CA
Practice address
4437 50TH St Apt 7
San Diego, CA 92115-3378
Phone
(752) 678-5344
NPI assigned
Feb 1, 2021
Last updated
May 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11492 CA
Mental Health Counselor 101YM0800X 22681 CA Primary

Addresses

Primary practice location

4437 50TH St Apt 7
San Diego, CA 92115-3378

Mailing address

4437 50TH St Apt 7
San Diego, CA 92115-3378
Phone (752) 678-5344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4420 Hotel Circle CT
Suite 200
San Diego, CA 92108-3411

4420 Hotel Circle CT
Suite 200
San Diego, CA 92108-3423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22681CAMDMarriage & Family Therapist
11492CAMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1740871839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 50TH ST APT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153378",
            "telephone_number": "752-678-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 50TH ST APT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153378",
            "telephone_number": "752-678-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BRENT",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "11492",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "22681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.