KANEISHA D BAILEY LPC
NPI 1104477579
Counselor - Professional in Dallas, TX
About Kaneisha D Bailey Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANEISHA D BAILEY LPC (NPI 1104477579) is an individual professional provider in Dallas, Texas, licensed in Texas (78931) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arlington, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kaneisha D Bailey Lpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kaneisha Bailey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75251
- Reassigned Medicare billing, Texas enrollment
- 86 clinicians in this Medicare group
San Antonio, TX 78240
- Reassigned Medicare billing, Texas enrollment
- 296 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75237
DALLAS, TX 75237
DALLAS, TX 75237
DALLAS, TX 75237
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 Kaneisha Bailey's NPI number?
The NPI number for Kaneisha Bailey is 1104477579. It was assigned to this individual provider in the NPPES registry on September 26, 2019.
Where is Kaneisha Bailey located?
Kaneisha Bailey practices at 4215 Gannon Ln, Dallas, TX 75237. The listed phone number is (972) 283-9090.
What is Kaneisha Bailey's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kaneisha Bailey enrolled in Medicare?
Yes. Kaneisha 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 Kaneisha Bailey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaneisha Bailey reassigns Medicare benefits to 2 organizations: North Texas Behavioral Health Authority (Dallas, TX) and Deer Oaks Geriatric Services P C (San Antonio, TX). 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 Kaneisha Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaneisha Bailey accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Kaneisha 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 Kaneisha Bailey was last updated on March 20, 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.
# Kaneisha D Bailey, LPC · NPI 1104477579
Professional provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since September 26, 2019.
## Identity
- **NPI:** 1104477579 (Entity type: Individual)
- **Enumerated:** September 26, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 78931 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4215 GANNON LN, Dallas, TX 75237-2914
- **Phone:** (972) 283-9090
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Texas Behavioral Health Authority (NPI 1457720120, Dallas, TX); Deer Oaks Geriatric Services P C (NPI 1134169287, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104477579) · Data from the CMS NPPES public registry.