Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Sherisse Kelly Bailey, LCMHCS, LCASMCCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083943054

Mrs. Sherisse Kelly Bailey, LCMHCS, LCASMCCS is a Mental Health Counselor in Raleigh, North Carolina. Qualified in 2009, 17 years ago. Practices with Freedom House Recovery Center Inc, a 13-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Licensed in
NC
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

2443 Lynn Rd Ste 112
Raleigh, NC 27612-6759
Phone: (919) 741-2349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7644 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1988 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 7644 (NC)

Record details

NPI number1083943054
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCS , LCASMCCS
Sole proprietorYes
NPI enumeratedDecember 21, 2009
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Freedom House Recovery Center Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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