J Chalice Bailey LMFT CCTP PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

J CHALICE BAILEY LMFT CCTP PLLC

Practice address

302 N Main St Unit F
Coupeville, WA 98239-3421

Phone

(206) 484-7501

NPI assigned

Dec 13, 2019

Organization subpart

No

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

Authorized official

Name

J Chalice Bailey, LMFT

Title

Counselor

Phone

(206) 484-7501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1952949554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N MAIN ST APT 22",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393410",
            "telephone_number": "206-484-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST UNIT F",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393421",
            "telephone_number": "206-484-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J CHALICE BAILEY LMFT CCTP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "J CHALICE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "206-484-7501",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Coupeville, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.