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Deactivated NPI 1063743334 Deactivated / Inactive NPI Male Practitioner

Eon Carolie Bailey

Counselor • Lawrence, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eon Bailey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 26, 2010
NPI Deactivation Date May 13, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Eon Bailey was a registered Counselor practicing in Lawrence, NY. Throughout an active medical career spanning 10 years, Eon Bailey provided care at the practice location at 270 LAWRENCE AVE until profile deactivation on 2020-05-13.

Practice Location & Contact Primary Location

Practice Address

270 Lawrence Ave

Lawrence, NY 115591224

Telephone 5162396244
Fax 5163712147
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Lawrence, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Lawrence, NY (4032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Charlemagne Benjamin , CASAC-T

Counselor - Addiction (Substance Use Disorder)

NPI 1114383064

CASACT

Phyllis Tropp , LCSW-R, CASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1295909778

Licensed Clinical Social Worker - Registered, CASAC

Jose Melendez , CASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1467783829
NPI 1689356883

Licensed Master Social Worker

Danielle Feihel , LCSW

Social Worker - Clinical

NPI 1952632382

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 13, 2020

Record deactivated on May 13, 2020

NPI Profile Active January 26, 2010

NPI status registered as active in NPPES database

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Updated Practice Location January 26, 2010

Registered at 270 LAWRENCE AVE, LAWRENCE, NY 115591224 (Tel: 5162396244)

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Updated Business Mailing Address January 26, 2010

Registered at 270 LAWRENCE AVE, LAWRENCE, NY 115591224 (Tel: 5162396244)

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Provider Name / Credentials Updated January 26, 2010

Recorded as EON BAILEY

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2010

Counselor

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Initial NPI Registration & Enumeration January 26, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063743334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2010
Last Update: January 26, 2010
Deactivation Date: May 13, 2020

Mailing Address

270 Lawrence Ave

Lawrence, NY 115591224

Phone: 5162396244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.