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MRS. JENNIFER L BAILEY LMSW
NPI 1164656245
Counselor - Mental Health in Port Huron, MI

Active since May 05, 2009PECOS EnrolledAccepts Medicare Assignment
824 HURON AVE, PORT HURON, MI 48060(810) 985-7380 Get Directions Write a Review

NPPES record last updated: May 8, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Jennifer L Bailey Lmsw NPPES

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

MRS. JENNIFER L BAILEY LMSW (NPI 1164656245) is an individual mental health provider in Port Huron, Michigan, licensed in Michigan (6801082747) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1164656245
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENNIFER L BAILEYCredential: LMSW
Location Address824 HURON AVEPort Huron, MI 48060-3705
Mailing Address824 Huron AvePort Huron, MI 48060-3705 · (810) 985-7380
Phone(810) 985-7380
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 5, 2009
Last NPPES UpdateMay 8, 2009
✔ NPI 1164656245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6801082747
824 HURON AVE, Port Huron, MI 48060
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Jennifer L Wiederhold

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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. Jennifer L Bailey Lmsw 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 ID5890754139
PECOS Enrollment IDI20041004000611
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 Jennifer Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jennifer Bailey Bethechange Counseling LLC
0.5 mi
Clinical
1423 PINE GROVE AVE
Port Huron, MI 48060
  • Reassigned Medicare billing, Michigan enrollment
NPI 1730820002 (810) 434-0640

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 2

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

MR. DANIEL CHARLES LUNDBLAD LMSW ACSW
Social Worker (Clinical)
824 HURON AVE
PORT HURON, MI 48060
St. Clair County (810) 985-7380
BLUE WATER CENTER FOR CHRISTIAN COUNSELING P.C.
Counselor (Mental Health)
824 HURON AVE
PORT HURON, MI 48060
St. Clair County (810) 985-7380

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 Jennifer Bailey's NPI number?

The NPI number for Jennifer Bailey is 1164656245. It was assigned to this individual provider in the NPPES registry on May 5, 2009. The provider is also known as Ms. Jennifer L Wiederhold.

Where is Jennifer Bailey located?

Jennifer Bailey practices at 824 Huron Ave, Port Huron, MI 48060. The listed phone number is (810) 985-7380.

What is Jennifer Bailey's specialty?

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

Is Jennifer Bailey enrolled in Medicare?

Yes. Jennifer 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 organization bills Medicare for Jennifer Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Bailey reassigns Medicare benefits to Jennifer Bailey Bethechange Counseling LLC (Port Huron, MI). The 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 Jennifer Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Bailey accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Jennifer 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 Jennifer Bailey was last updated on May 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.