MEDICARE: BAILEE R GASS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1528600301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEE R GASS

Provider Business Mailing Address
First Line	:	4600 77TH ST W STE 370
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-4912
Country	:	US
Telephone Number	:	320-522-0064
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 77TH ST W STE 370
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-4912
Country	:	US
Telephone Number	:	320-522-0064
Fax Number	:

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

Provider Enumeration Date	:	10/12/2019
Last Update Date	:	03/16/2026

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Directions to “ BAILEE R GASS ” Practice Location

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