MRS. SHERISSE KELLY BAILEY LCMHCS,LCASMCCS
NPI 1083943054
Counselor - Mental Health in Raleigh, NC

Active since December 21, 2009PECOS EnrolledAccepts Medicare Assignment
2443 LYNN RD STE 112, RALEIGH, NC 27612(919) 741-2349 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2024, Aug 15, 2016 (2 updates tracked since 2016).

About Mrs. Sherisse Kelly Bailey Lcmhcs,lcasmccs NPPES

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

MRS. SHERISSE KELLY BAILEY LCMHCS,LCASMCCS (NPI 1083943054) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (7644) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1083943054
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SHERISSE KELLY BAILEYCredential: LCMHCS,LCASMCCS
Location Address2443 LYNN RD STE 112Raleigh, NC 27612-6759
Mailing Address2443 Lynn Rd Ste 112Raleigh, NC 27612-6759 · (919) 741-2349 · Fax (919) 887-2078
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 21, 2009
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1083943054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 7644
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1988 (NC)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 7644 (NC)
2443 LYNN RD STE 112, Raleigh, NC 27612

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sherisse Kelly Bailey Lcmhcs,lcasmccs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022371608
PECOS Enrollment IDI20240611003627
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 Reassignments

2

Medicare enrollment records show Sherisse Bailey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
4030 WAKE FOREST RD STE 300
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Baileys Innovation Group
Community/Behavioral Health
400 CRUTCHFIELD ST, STE D
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 18 clinicians in this Medicare group

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 10

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

Social Worker (Clinical)
2443 LYNN RD STE 112
RALEIGH, NC 27612
Counselor (Mental Health)
2443 LYNN RD STE 112
RALEIGH, NC 27612
Social Worker (Clinical)
2443 LYNN RD STE 112
RALEIGH, NC 27612
Counselor (Mental Health)
2443 LYNN RD STE 112
RALEIGH, NC 27612
Counselor (Professional)
2443 LYNN RD STE 112
RALEIGH, NC 27612
Counselor (Mental Health)
2443 LYNN RD STE 112
RALEIGH, NC 27612
Counselor (Addiction (Substance Use Disorder))
2443 LYNN RD STE 112
RALEIGH, NC 27612
Community/Behavioral Health
2443 LYNN RD STE 112
RALEIGH, NC 27612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sherisse Bailey's NPI number?

The NPI number for Sherisse Bailey is 1083943054. It was assigned to this individual provider in the NPPES registry on December 21, 2009.

Where is Sherisse Bailey located?

Sherisse Bailey practices at 2443 Lynn Rd Ste 112, Raleigh, NC 27612. The listed phone number is (919) 741-2349.

What is Sherisse Bailey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sherisse Bailey enrolled in Medicare?

Yes. Sherisse Bailey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sherisse Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sherisse Bailey reassigns Medicare benefits to 2 organizations: Bailey's Innovation Group (Raleigh, NC) and Freedom House Recovery Center, Inc. (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sherisse Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sherisse Bailey accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Sherisse Bailey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sherisse Bailey was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.