Individual provider Active NPI

Baili Alexis Diefenbach, M.ED., LPCA

  • Professional Counselor
  • Paducah, KY
National Provider Identifier
1891591293
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
299334 Issued in KY
Practice address
125 Eagle Nest Dr
Paducah, KY 42003-9435
Phone
(270) 898-1293
Fax
(270) 898-1187
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 299334 KY Primary

Addresses

Primary practice location

125 Eagle Nest Dr
Paducah, KY 42003-9435

Mailing address

230 Heather LN
Ledbetter, KY 42058-9735
Phone (618) 218-8723

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 Education

State licenses

LicenseStateTypeSpecialty
299334KYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1891591293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HEATHER LN",
            "city": "LEDBETTER",
            "state": "KY",
            "postal_code": "420589735",
            "telephone_number": "618-218-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAGLE NEST DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039435",
            "telephone_number": "270-898-1293",
            "fax_number": "270-898-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEFENBACH",
        "first_name": "BAILI",
        "middle_name": "ALEXIS",
        "credential": "M.ED., LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "299334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.