DESIRAE JO BAILOR LSW
NPI 1154216976
Counselor - Mental Health in Pueblo, CO

Active since June 11, 2025PECOS Enrolled
3500 BALTIMORE AVE, PUEBLO, CO 81008(719) 545-1181 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Desirae Jo Bailor Lsw NPPES

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

DESIRAE JO BAILOR LSW (NPI 1154216976) is an individual mental health provider in Pueblo, Colorado and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154216976
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDESIRAE JO BAILORCredential: LSW
Location Address3500 BALTIMORE AVEPueblo, CO 81008-1543
Mailing Address4 Montebello RdPueblo, CO 81001-1237 · (719) 546-6667
Sole ProprietorNo
Enumeration DateJune 11, 2025
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1154216976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3500 BALTIMORE AVE, Pueblo, CO 81008

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Desirae Jo Bailor Lsw 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.

Other Providers at the Same Location NPPES 17

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

Counselor (Addiction (Substance Use Disorder))
3500 BALTIMORE AVE
PUEBLO, CO 81008
Substance Abuse Rehabilitation Facility
3500 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3500 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3500 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3500 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3500 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3500 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3500 BALTIMORE AVE
PUEBLO, CO 81008

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 Desirae Bailor's NPI number?

The NPI number for Desirae Bailor is 1154216976. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Where is Desirae Bailor located?

Desirae Bailor practices at 3500 Baltimore Ave, Pueblo, CO 81008. The listed phone number is (719) 545-1181.

What is Desirae Bailor's specialty?

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

Is Desirae Bailor enrolled in Medicare?

Yes. Desirae Bailor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Desirae Bailor was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.