Organization Active NPI

Kristin Bailey PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bourbonnais, IL
National Provider Identifier
1841866423
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Kristin Bailey, LCSW, PMH-CNPI 1245605062
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.