KANEISHA D BAILEY (NPI# 1104477579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104477579 |
| Entity Type | Individual |
| Full Name | KANEISHA D BAILEY |
| Credential | LPC |
| Practice Address |
3840 Hulen St Fort Worth TX 76107-7277 |
| Mailing Address |
Po Box 2603 Fort Worth TX 76113-2603 |
| Practice Telephone | 8173353022 |
| Mailing Telephone | 8175694300 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
78931 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3001 W 5th St, Fort Worth, TX 761078900 | 6822698069 |
| Street Address |
3840 HULEN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-7277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720044712 | Lynne C Pompetti | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2006-04-26 |
| 1972104768 | Angelica Pineda | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-11-06 |
| 1912507229 | Cassandra Marie Demora | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-10-27 |
| 1306444781 | Shaleese Rockett | Social Worker | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-10-16 |
| 1730795907 | Tyler Macdonell | Physical Therapist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-22 |
| 1366058521 | Dawnita West | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-22 |
| 1447866181 | Rachel Sotelo | Speech-Language Pathologist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-18 |
| 1912513912 | Emily Bourget | Speech-Language Pathologist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-16 |
| 1114533130 | Olufunke Jinadu | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-16 |
| 1760093173 | Martina M Silva | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013043 | Shayla H Rumsey | Counselor | 1137f Burton Hill Rd, Fort Worth, TX 76114-4530 | 2020-11-05 |
| 1356942544 | Abigail Ibitoye | Counselor | 6300 Ridglea Pl Ste 425, Fort Worth, TX 76116-5704 | 2020-11-04 |
| 1932713385 | Brooke Nicole Powell | Counselor | 1804 Glenmore Ave, Fort Worth, TX 76102-1509 | 2020-09-03 |
| 1669085254 | Heather Marie Wolf | Counselor | 429 College Ave Apt 301, Fort Worth, TX 76104-2264 | 2020-08-25 |
| 1013529361 | Michelle Mcqueen | Counselor | 8548 S Hulen St, Fort Worth, TX 76123-2741 | 2020-08-18 |
| 1871102772 | Precious Victoria Robinson | Counselor | 929 E Pulaski St, Fort Worth, TX 76104-5139 | 2020-07-27 |
| 1861010258 | Rachel Brohammer | Counselor | 4005 Ohare Ct Apt 602, Fort Worth, TX 76155-2853 | 2020-07-11 |
| 1972128288 | Traci Cocetti | Counselor | 4516 Fletcher Ave, Fort Worth, TX 76107-6214 | 2020-06-11 |
| 1285259622 | Brittany Lynn Stroud | Counselor | 3200 Riverfront Dr Ste 108, Fort Worth, TX 76107-6560 | 2020-06-11 |
| 1912529330 | Kristen Ann Mcgowen-plaga | Counselor | 12729 Homestretch Dr, Fort Worth, TX 76244-4214 | 2020-05-07 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on KANEISHA D BAILEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.