Christina Bailey

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60461712 Issued in WA

Practice address

900 7TH St
Clarkston, WA 99403-2005

Phone

(509) 758-3341

Fax

(509) 769-6057

NPI assigned

Jul 11, 2014

Last updated

Jul 11, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clarkston, WA
  • NPI 1790707776
  Medicare reassignment NPD
• Quality Behavioral Health

  • Community/Behavioral Health Agency
  • Clarkston, WA
  • NPI 1649531187
  Authorized official Same address or phone
• Quality Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pomeroy, WA
  • NPI 1992888481
  NPD (past)

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1992111827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 7TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032005",
            "telephone_number": "509-758-3341",
            "fax_number": "509-769-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 7TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032005",
            "telephone_number": "509-758-3341",
            "fax_number": "509-769-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60461712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST OF WA",
            "identifier": "1000001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asotin County Community Services
• Asotin County Fire Protection District 1
• Asotin County Health District
• Asotin County Health District
• Michelle Aucutt, OTR/L
• Jerry Bailey, RPH
• Paul D. Baker, M.ED
• Kaylissa Beale
• Bryan James Beardsley, M.D.
• Julie Bechtel, CRNA

• Mental Health Counselor in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.