BAILEY NEWELL (MA, LMFT) – Mental Health Counselor, NPI 1639628597

BAILEY NEWELL (MA, LMFT) is a healthcare provider. based in Roseville, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA, LMFT. They hold a License No. 4153 (MN). The NPI Number for BAILEY NEWELL (MA, LMFT) is 1639628597

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BAILEY NEWELL (MA, LMFT)
NPI
1639628597
Phone
(651) 955-4633
Address
1970 Oakcrest Ave Ste 200
Enumeration Date
3 October 2016
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6519554633
Graduation Year
2018 (8 years ago)
PAC ID
1759724248
Group Practice PAC ID
1557804390
Professional Enrollment ID
I20240212003896
Address ID
MN551194409SA245XXNXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for BAILEY NEWELL (MA, LMFT)

  • 1970 Oakcrest Ave Ste 200

    Roseville, MN 551132624

    Phone: (651) 955-4633

    Fax: (651) 440-9827

    Type: Location

  • 245 RUTH ST N STE 101

    SAINT PAUL, MN 551194409

    Phone: (651) 955-4633

    Type: Location

  • 9298 CENTRAL AVE NE STE 310

    BLAINE, MN 554344219

    Phone: (651) 955-4633

    Fax: (651) 440-9827

    Type: Mailing

  • 1833, 3rd Avenue, Anoka, Anoka County, Minnesota, 55303, United States

    ANOKA, MN 553032424

    Phone: (763) 421-5535

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240212003896IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55113)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557804390View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What NPI should I save for BAILEY NEWELL (MA, LMFT)?
Save NPI 1639628597 if you need a stable reference for BAILEY NEWELL (MA, LMFT).
Does this profile mean BAILEY NEWELL (MA, LMFT) is currently active?
Yes — BAILEY NEWELL (MA, LMFT) appears active in the national provider directory.
What field does BAILEY NEWELL (MA, LMFT) work in?
You can think of BAILEY NEWELL (MA, LMFT) as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place BAILEY NEWELL (MA, LMFT)?
The snapshot lists Roseville, Minnesota for BAILEY NEWELL (MA, LMFT); download NPPES for the complete set.
What if Roseville, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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