Jessica Lee Bailey, LPC | |
316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | |
(616) 805-3660 | |
(616) 805-3631 |
Full Name | Jessica Lee Bailey |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 316 Morris Ave Ste 200, Muskegon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104352244 | NPI | - | NPPES |
1104352244 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401017384 (Michigan) | Primary |
101YM0800X | Counselor - Mental Health | 6401015890 (Michigan) | Secondary |
Entity Name | Counseling Center Of West Michigan Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437610730 PECOS PAC ID: 9234469255 Enrollment ID: O20190918000332 |
Mailing Address | Practice Location Address |
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Jessica Lee Bailey, LPC 2700 Baker St Fl 3, Muskegon, MI 49444-2157 Ph: (231) 737-1335 | Jessica Lee Bailey, LPC 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 Ph: (616) 805-3660 |
Valerie A Porenta, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 3rd St, Muskegon, MI 49441 Phone: 231-726-4735 Fax: 231-722-0789 | |
Jennifer Roach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1148 4th St, Muskegon, MI 49441 Phone: 231-726-2299 | |
Marjorie Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-4359 Fax: 231-733-6151 | |
Ms. Lauren C Thomas, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-3636 | |
Monique L Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1470 Peck St, Muskegon, MI 49441 Phone: 231-724-3336 | |
Mr. Peter Jonas Chandler, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 173 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-6050 Fax: 231-724-6066 | |
Nicholas Bremer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 |