Bailey Anne Jackson, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW18301 Issued in FL

Practice address

3300 17TH St
Sarasota, FL 34235-8904

Phone

(941) 217-6503

NPI assigned

May 8, 2019

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

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.

• All Star Children'S Foundation

  • Adolescent and Children Mental Health Clinic/Center
  • Sarasota, FL
  • NPI 1558867341
  NPD
• All Star Children'S Foundation

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1710651583
  NPD

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1780249334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342358904",
            "telephone_number": "941-217-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342358904",
            "telephone_number": "941-217-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BAILEY",
        "middle_name": "ANNE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW18301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J&J Shine Corp
• J&M Support Coordination Services, Inc.
• Amy Elizabeth Jabanoski, D.C.
• Angele D. Jabre, M.A, CCC-SLP
• Arin Jackson I, ARNP
• Elizabeth Mary Jackson
• Franjesca Jackson
• Gregory Alan Jackson, P.T.
• Heather Jackson
• John Jacob, MD

• Mental Health Counselor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.