JACLYN POE BAILES LPC-ASSOCIATE
NPI 1326750761
Counselor - Professional in Waco, TX
About Jaclyn Poe Bailes Lpc-associate NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN POE BAILES LPC-ASSOCIATE (NPI 1326750761) is an individual professional provider in Waco, Texas, licensed in Texas (90524) and active in the NPI registry since December 2022. She has opted out of Medicare through June 9, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jaclyn Poe Bailes Lpc-associate has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2025 through June 9, 2027.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jaclyn Bailes's NPI number?
The NPI number for Jaclyn Bailes is 1326750761. It was assigned to this individual provider in the NPPES registry on December 16, 2022.
Where is Jaclyn Bailes located?
Jaclyn Bailes practices at 510 Austin Ave, Waco, TX 76701. The listed phone number is (903) 948-8038.
What is Jaclyn Bailes's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jaclyn Bailes enrolled in Medicare?
No. Jaclyn Bailes has opted out of Medicare through June 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jaclyn Bailes was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jaclyn Poe Bailes, LPC-ASSOCIATE · NPI 1326750761
Professional provider in Waco, Texas. Individual provider, active in the CMS NPPES registry since December 16, 2022.
## Identity
- **NPI:** 1326750761 (Entity type: Individual)
- **Enumerated:** December 16, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 90524 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 AUSTIN AVE, Waco, TX 76701-2107
- **Phone:** (903) 948-8038
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 9, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** December 16, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1326750761) · Data from the CMS NPPES public registry.