KANEISHA D BAILEY LPC
NPI 1104477579
Counselor - Professional in Dallas, TX

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment
4215 GANNON LN, DALLAS, TX 75237(972) 283-9090 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2020, Sep 26, 2019 (2 updates tracked since 2019).

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

NPI1104477579
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKANEISHA D BAILEYCredential: LPC
Location Address4215 GANNON LNDallas, TX 75237-2914
Mailing Address3702 Palomino DrArlington, TX 76017-1516 · (682) 269-8069
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 26, 2019
Last NPPES UpdateMarch 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
NPI 1104477579 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 TX · 78931
4215 GANNON LN, Dallas, TX 75237

Secondary Practice Location 1

Location 13702 Palomino DrArlington, TX 76017-1516 · Phone (682) 269-8069

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7911440870
PECOS Enrollment IDI20240619002021
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.

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.

Psychiatry & Neurology (Psychiatry)
4215 GANNON LN
DALLAS, TX 75237
Nurse Practitioner (Psychiatric/Mental Health)
4215 GANNON LN
DALLAS, TX 75237
Nurse Practitioner (Psychiatric/Mental Health)
4215 GANNON LN
DALLAS, TX 75237
Social Worker (Clinical)
4215 GANNON LN
DALLAS, TX 75237
Nurse Practitioner (Psychiatric/Mental Health)
4215 GANNON LN
DALLAS, TX 75237
Nurse Practitioner (Psychiatric/Mental Health)
4215 GANNON LN
DALLAS, TX 75237
Psychiatry & Neurology (Psychiatry)
4215 GANNON LN
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.

What insurance does Kaneisha Bailey accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Providence Health Plan and 1 other insurer 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.