Active NPI
Joann M Krohn Bailey, MS
- Professional Counselor
- Washburn, WI
National Provider Identifier
1871748293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 590-125
- Practice address
- 21 West Omaha Street
Washburn, WI 54891-0036 - Phone
- (715) 373-0160
- Fax
- (715) 373-0162
- NPI assigned
- Nov 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 590-125 | WI | Primary |
Addresses
Primary practice location
21 West Omaha Street
Washburn, WI 54891-0036
Mailing address
PO Box 36
Washburn, WI 54891-0036
Phone (715) 373-0160
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 590-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1871748293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36",
"city": "WASHBURN",
"state": "WI",
"postal_code": "548910036",
"telephone_number": "715-373-0160",
"fax_number": "715-373-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 WEST OMAHA STREET",
"city": "WASHBURN",
"state": "WI",
"postal_code": "548910036",
"telephone_number": "715-373-0160",
"fax_number": "715-373-0162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROHN BAILEY",
"first_name": "JOANN",
"middle_name": "M",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "590-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washburn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.