TINA VANESSA BAILEY LPC
NPI 1073896213
Counselor - Professional in Jonesboro, AR

Q: What is Tina Bailey's NPI number?

The NPI number for Tina Bailey is 1073896213. It was assigned to this individual provider in the NPPES registry on September 23, 2011.

Q: What is Tina Bailey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Tina Bailey was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2011PECOS Enrolled

1815 PLEASANT GROVE RD, JONESBORO, AR 72401(870) 933-6886(870) 933-9395 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 22, 2018, Nov 30, 2015 (2 updates tracked since 2015).

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About Tina Vanessa Bailey Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA VANESSA BAILEY LPC (NPI 1073896213) is an individual professional provider in Jonesboro, Arkansas, licensed in Arkansas (P1505058) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073896213

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTINA VANESSA BAILEYCredential: LPC

Location Address1815 PLEASANT GROVE RDJonesboro, AR 72401-7870

Mailing Address1815 Pleasant Grove RdJonesboro, AR 72401-7870 · (870) 933-6886 · Fax (870) 933-9395

Phone(870) 933-6886

Fax(870) 933-9395

Sole ProprietorNo

Enumeration DateSeptember 23, 2011

Last NPPES UpdateMay 22, 20182 updates tracked since enumeration

✔ NPI 1073896213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AR · P1505058

1815 PLEASANT GROVE RD, Jonesboro, AR 72401

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Other Identifiers 1

Medicaid187855795AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Vanessa Bailey Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tina Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Families, Inc Of Arkansas

Same address

Mental Health (Including Community Mental Health Center)

1815 PLEASANT GROVE RD
Jonesboro, AR 72405

Reassigned Medicare billing, Arkansas enrollment
134 clinicians in this Medicare group

NPI 1770535569 (870) 933-6886

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH LYNN MATTHEWS MHPP

Case Manager/Care Coordinator