Individual provider Active NPI

Carole Calvert-Baxter, MA-LLPC

  • Mental Health Counselor
  • Midland, MI
National Provider Identifier
1023269255
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401010261 Issued in MI
Practice address
1714 Eastman Ave
Midland, MI 48640-4216
Phone
(989) 631-5390
Fax
(989) 631-0488
NPI assigned
Oct 7, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401010261 MI Primary

Addresses

Primary practice location

1714 Eastman Ave
Midland, MI 48640-4216

Mailing address

1714 Eastman Ave
Midland, MI 48640-4216
Phone (989) 631-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401010261MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Childrens Services Mid-Michigan FCSM Mental Health PastSince Sep 4, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1023269255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404216",
            "telephone_number": "989-631-5390",
            "fax_number": "989-631-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404216",
            "telephone_number": "989-631-5390",
            "fax_number": "989-631-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERT-BAXTER",
        "first_name": "CAROLE",
        "credential": "MA-LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.