MR. CHRISTOPHER SHANE BAILEY LPC NPI 1679781249

NPI Information

  • NPI: 1679781249
  • Provider Name: MR. CHRISTOPHER SHANE BAILEY, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 320 E LEE AVE
    YADKINVILLE, NC
    ZIP 27055
  • Phone: (336) 679-8805

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NPI Details

MR. Christopher Shane Bailey, LPC is a professional counselor in Yadkinville, NC with 27 years of experience. MR. Christopher Shane Bailey, LPC NPI is 1679781249. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 E LEE AVE
YADKINVILLE, NC
ZIP 27055-132
Phone: (336) 679-8805
Fax: (336) 679-3075

The NPI 1679781249 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 11/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional5493NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16103869MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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