MEDICARE: BAILEY JACOBS

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	101YP2500X	Professional Counselor	2025008085	MO

General Provider Information

NPI Number	:	1669272274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY JACOBS

Provider Business Mailing Address
First Line	:	19612 E 18TH TER S
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64057-2170
Country	:	US
Telephone Number	:	615-517-4837
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 NW VIVION RD STE 108
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-4511
Country	:	US
Telephone Number	:	816-366-5515
Fax Number	:

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

Provider Enumeration Date	:	03/14/2025
Last Update Date	:	03/14/2025

Similar Medicare Providers

1689567307 — JACKIE NICHOLE MCCLELLAN LPC
Practice Location Address:

1420 NW VIVION RD STE 108
KANSAS CITY, MO
64118-4511

Practice Phone: 816-329-9107
Practice Fax:

1851262067 — LAURA CORNETT MA, PLPC
Practice Location Address:

1420 NW VIVION RD STE 108
KANSAS CITY, MO
64118-4511

Practice Phone: 816-366-5515
Practice Fax:

1619927225 — CURTIS DELON JOHNSON MD
Practice Location Address:

1300 E 104TH ST
KANSAS CITY, MO
64131-4511

Practice Phone: 816-941-6700
Practice Fax: 816-941-7909

1073716304 — FOOTWORKS INC.
Practice Location Address:

1152 W 103RD ST
KANSAS CITY, MO
64114-4511

Practice Phone: 816-942-3668
Practice Fax: 816-942-9402

1013532464 — NOVACK VISION CARE, LLC
Practice Location Address:

1166 W 103RD ST
KANSAS CITY, MO
64114-4511

Practice Phone: 816-941-6886
Practice Fax: 816-941-8839

1366392573 — ABRAHIM IMAM D.O.
Practice Location Address:

2103 JENKS AVE
PANAMA CITY, FL
32405-4511

Practice Phone: 850-785-0085
Practice Fax:

Directions to “ BAILEY JACOBS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.