Individual provider Active NPI

Yolanda Susan Renee Bailey, LCPC, CRC

  • Professional Counselor
  • Beltsville, MD
National Provider Identifier
1760893648
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4127 Issued in MD
Practice address
11316 Cherry Hill Rd
#201
Beltsville, MD 20705-3709
Phone
(202) 906-0085
Fax
(202) 544-6600
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC4127 MD Primary

Addresses

Primary practice location

11316 Cherry Hill Rd
#201
Beltsville, MD 20705-3709

Mailing address

PO Box 1376
Greenbelt, MD 20768-1376
Phone (202) 906-0085

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

State licenses

LicenseStateTypeSpecialty
LC4127MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1760893648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1376",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207681376",
            "telephone_number": "202-906-0085",
            "fax_number": "202-544-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11316 CHERRY HILL RD",
            "address_2": "#201",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053709",
            "telephone_number": "202-906-0085",
            "fax_number": "202-544-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "YOLANDA",
        "middle_name": "SUSAN RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.