NPIMap

Organization Active NPI

Bailey Behavioral Health, PLLC

  • Professional Counselor
  • Fox Lake, IL
National Provider Identifier
1790258408
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BAILEY BEHAVIORAL HEALTH, PLLC
Practice address
34 W Grand Ave Ste 101
Fox Lake, IL 60020-1224
Phone
(847) 322-2975
NPI assigned
Jan 4, 2019
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Diane M Bailey Yoder, LCPCNPI 1063833796
Title
Owner
Phone
(847) 322-2975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

34 W Grand Ave Ste 101
Fox Lake, IL 60020-1224

Mailing address

3402 Sweetwater LN
Johnsburg, IL 60051-5220
Phone (847) 322-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200608002967 IL Part B Supplier - Clinic/Group Practice 0547681058 Receives reassigned benefits from 7 practitioners
Practice locations: Fox Lake, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1790258408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 SWEETWATER LN",
            "city": "JOHNSBURG",
            "state": "IL",
            "postal_code": "600515220",
            "telephone_number": "847-322-2975",
            "fax_number": "888-436-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W GRAND AVE STE 101",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201224",
            "telephone_number": "847-322-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "BAILEY YODER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-322-2975",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.