Jennifer Ann Bailey

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

41 Maddex Dr
Shepherdstown, WV 25443-4322

Phone

(703) 587-6191

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Counseling Ministries IncGroup PAC ID 7315382835, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Providence Counseling Ministries, Inc

  • Professional Counselor
  • Shepherdstown, WV
  • NPI 1356420608
  Medicare reassignment Care Compare group NPD
• Callahan Counseling

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1215752951
  NPD
• Peter J. Callahan, PLLC

  • Clinical Social Worker
  • Martinsburg, WV
  • NPI 1669644852
  NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1942978341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 FOLKS PT",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254433809",
            "telephone_number": "703-587-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MADDEX DR",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434322",
            "telephone_number": "703-587-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Meridian Pkwy",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254045422",
            "country_code": "US",
            "telephone_number": "304-671-4875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Winchester Ave",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254011650",
            "country_code": "US",
            "telephone_number": "304-886-4118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Lea Alderman, M.S., CF-SLP
• Raquel Amaro
• Sarah Amato, CRNP
• Ashley Wertman
• Mariah Bacon
• Miriam Veronica Baker, RN
• Joanne T. Bario, LPC
• Andrea Barnett
• Sherri Lynn Beard
• John Hudson Berkley, PSYD

• Counselor in Shepherdstown, WV
• Providers in Shepherdstown, WV by specialty
• Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.