1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Counselor
  6. NPI Profile

KENDRICK BAILEY LCPC
NPI 1205095692
Counselor - Professional in Peoria, IL

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment
900 MAIN ST STE 580, PEORIA, IL 61602(309) 637-4266(309) 637-9836 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2019, Nov 12, 2015 (2 updates tracked since 2015).

About Kendrick Bailey Lcpc NPPES

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

KENDRICK BAILEY LCPC (NPI 1205095692) is an individual professional provider in Peoria, Illinois, licensed in Illinois (1800067893) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1205095692
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKENDRICK BAILEYCredential: LCPC
Location Address900 MAIN ST STE 580Peoria, IL 61602-1065
Mailing Address900 Main St Ste 580Peoria, IL 61602-1065 · (309) 637-4266 · Fax (309) 637-9836
Phone(309) 637-4266
Fax(309) 637-9836
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 2, 2008
Last NPPES UpdateMarch 8, 20192 updates tracked since enumeration
✔ NPI 1205095692 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 IL · 1800067893
900 MAIN ST STE 580, Peoria, IL 61602
Open in Google Maps ↗

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

Kendrick Bailey Lcpc 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 ID1456898451
PECOS Enrollment IDI20240808001828
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 Kendrick Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associates In Mental Health, Sc
Clinical
900 MAIN ST, SUITE 580
Peoria, IL 61602
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1891856795 (309) 637-4266

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. CALEB HOWARD FRIEDRICH MSW, LCSW
Social Worker (Clinical)
900 MAIN ST STE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
DANIELLE YOCUM LCSW
Social Worker (Clinical)
900 MAIN ST STE 580
PEORIA, IL 61602
Peoria County (309) 637-4266

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 Kendrick Bailey's NPI number?

The NPI number for Kendrick Bailey is 1205095692. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Kendrick Bailey located?

Kendrick Bailey practices at 900 Main St Ste 580, Peoria, IL 61602. The listed phone number is (309) 637-4266.

What is Kendrick Bailey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kendrick Bailey enrolled in Medicare?

Yes. Kendrick 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 Kendrick Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendrick Bailey reassigns Medicare benefits to Associates In Mental Health, Sc (Peoria, IL). 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 Kendrick Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendrick Bailey was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.