Jason Bailey
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Parkersburg, WV
NPI 1962228346 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1962228346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2910 Emerson Ave
Parkersburg, WV 26104-2519 - Phone
- (304) 239-5355
- NPI assigned
- Dec 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SW Resources, Inc | Current | Accepting new patients | |
| SW Resources, Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2910 Emerson Ave
Parkersburg, WV 26104-2519
Mailing address
2910 Emerson Ave
Parkersburg, WV 26104-2519
Phone (304) 239-5355
NPI Registry JSON
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1962228346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 EMERSON AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261042519",
"telephone_number": "304-239-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 EMERSON AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261042519",
"telephone_number": "304-239-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
- Andrew Alexander Ayers
- Angel Dawn Ayers
- Jacqueline Lee Azinger
- Carla Marie Bailey
- Erica Bailey
- Jeremiah Bailey
- Kaitlyn Brianne Bailey
- Martha Bailey
- Melissa Sue Bailey
- Michell Bailey
All providers in Parkersburg, WV · Addiction (Substance Use Disorder) Counselor in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.