Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Tyler Bailey

Individual provider Counselor · NPI 1508406612

Justin Tyler Bailey is a Mental Health Counselor in Beckley, West Virginia. Qualified in 2017, 9 years ago. Practices with Med Surg Physician Group, Inc, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2020

Practice location Address checks out

1902 Harper Rd Ste Abc
Beckley, WV 25801-2642
Phone: (304) 253-3000
Fax: (304) 929-2038
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1508406612
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address1902 Harper Rd Ste Abc, Beckley, WV 25801-2642

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Med Surg Physician Group, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beckley