Individual provider Active NPI

Joellen Baus, M.ED, LPC, NCC, RN

  • Professional Counselor
  • Durham, NC
National Provider Identifier
1043499031
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3593 Issued in NC
Practice address
5027 Gatewood Dr
Durham, NC 27712-2155
Phone
(919) 471-8552
NPI assigned
Oct 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3593 NC Primary

Addresses

Primary practice location

5027 Gatewood Dr
Durham, NC 27712-2155

Mailing address

5027 Gatewood Dr
Durham, NC 27712-2155
Phone (919) 471-8552

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
Credentials
Master of Education, Registered Nurse

State licenses

LicenseStateTypeSpecialty
3593NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1043499031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 GATEWOOD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122155",
            "telephone_number": "919-471-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 GATEWOOD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122155",
            "telephone_number": "919-471-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUS",
        "first_name": "JOELLEN",
        "credential": "M.ED, LPC, NCC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.