Individual provider Active NPI

Bailey Combs, TEMP LMHCA

  • Mental Health Counselor
  • New Albany, IN
National Provider Identifier
1841049590
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
99121905A Issued in IN
Practice address
2627 Charlestown Rd
New Albany, IN 47150-2536
Phone
(812) 944-1550
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 99121905A IN Primary

Addresses

Primary practice location

2627 Charlestown Rd
New Albany, IN 47150-2536

Mailing address

4022 Marquette Dr
Floyds Knobs, IN 47119-9767
Phone (812) 972-9919

Other practice location 1

1618 Beeler St
New Albany, IN 47150-3158
Phone (812) 949-2499

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
99121905AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Counseling and Psychotherapy CurrentSince May 19, 2024 Accepting new patients
Associates in Counseling and Psychtherapy PastSince May 19, 2024 Accepting new patients

Locations

2627 Charlestown Rd
New Albany, IN 47150
Phone (812) 944-1550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1841049590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 MARQUETTE DR",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199767",
            "telephone_number": "812-972-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502536",
            "telephone_number": "812-944-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1618 Beeler St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471503158",
            "country_code": "US",
            "telephone_number": "812-949-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMBS",
        "first_name": "BAILEY",
        "credential": "TEMP LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99121905A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.