MEDICARE: BAILEY NOEL WESTERFIELD ANDERSON LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	CD60772874	WA
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1306351440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY NOEL WESTERFIELD ANDERSON LPC

Provider Business Mailing Address
First Line	:	1530 YORK RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1031
Country	:	US
Telephone Number	:	719-722-9089
Fax Number	:	719-722-9089

Provider Business Practice Location Address
First Line	:	1283 KELLY JOHNSON BLVD STE 200
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3925
Country	:	US
Telephone Number	:	719-722-9089
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2017
Last Update Date	:	04/10/2024

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