Individual provider Active NPI

Bailey Sims, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1952134025
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005084A Issued in IN
Practice address
4201 Millersville Rd Ste 200C
Indianapolis, IN 46205-2987
Phone
(765) 387-7148
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39005084A IN Primary

Addresses

Primary practice location

4201 Millersville Rd Ste 200C
Indianapolis, IN 46205-2987

Mailing address

5139 Annette St
Indianapolis, IN 46208-2470
Phone (317) 432-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20241024003577 IN Practitioner - Mental Health Counselor 2466985767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4201 Millersville Rd
Suite 200C
Indianapolis, IN 46205-2987
Phone (765) 387-7148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39005084AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Sims, LLC Mental Health CurrentSince Oct 16, 2024 Accepting new patients

Locations

4201 Millersville Rd
Ste 200C
Indianapolis, IN 46205
Phone (765) 387-7148

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1952134025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 ANNETTE ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462082470",
            "telephone_number": "317-432-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MILLERSVILLE RD STE 200C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052987",
            "telephone_number": "765-387-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "BAILEY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005084A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.