Active NPI
Kristin Bailey PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bourbonnais, IL
National Provider Identifier
1841866423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KRISTIN BAILEY PLLC
- Practice address
- 1137 E 5000N Rd
Bourbonnais, IL 60914-4229 - Phone
- (815) 683-6191
- Fax
- (815) 932-3663
- NPI assigned
- Jun 3, 2021
- Last updated
- Apr 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Bailey, LCSW, PMH-C
- Title
- Owner / Therapist
- Phone
- (815) 683-6191
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1137 E 5000N Rd
Bourbonnais, IL 60914-4229
Mailing address
1137 E 5000N Rd
Bourbonnais, IL 60914-4229
Phone (815) 683-6191
National Provider Directory
National Provider DirectoryLocations
201 Park Pl
Ste 11
Bourbonnais, IL 60914
Phone (815) 348-9771
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Bourbonnais, IL
- NPI 1245605062
-
- Professional Counselor
- Bourbonnais, IL
- NPI 1922964089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777507200000",
"number": "1841866423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 E 5000N RD",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609144229",
"telephone_number": "815-683-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 E 5000N RD",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609144229",
"telephone_number": "815-683-6191",
"fax_number": "815-932-3663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTIN BAILEY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-03",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "OWNER / THERAPIST",
"authorized_official_telephone_number": "815-683-6191",
"authorized_official_credential": "LCSW, PMH-C"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.