Individual provider Active NPI

Canaan Baker, MA, LCDC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1043943558
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
94965 Issued in TX
Practice address
3723 Greenville Ave Ste 71598
Dallas, TX 75206-5311
Phone
(972) 360-9002
Fax
(972) 947-5167
NPI assigned
Jul 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 94965 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15754 TX

Addresses

Primary practice location

3723 Greenville Ave Ste 71598
Dallas, TX 75206-5311

Mailing address

3723 Greenville Ave Ste 71598
Dallas, TX 75206-5311
Phone (972) 360-9002

Other practice location 1

9900 Adleta Blvd Apt 2012
Dallas, TX 75243-9263
Phone (904) 422-7752

Other practice location 2

4600 Greenville Ave Ste 252
Dallas, TX 75206-5037
Phone (214) 618-8402

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 Arts

State licenses

LicenseStateTypeSpecialty
15754TXMDAddiction (Substance Use Disorder) Counselor
94965TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Confidant Coach LLC Addiction (Substance Use Disorder) CurrentSince Jul 13, 2025 Accepting new patients
Peace by Piece Counseling PLLC Addiction (Substance Use Disorder) Past Accepting new patients

Locations

3723 Greenville Ave
Dallas, TX 75206
Phone (833) 619-0837

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1043943558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 GREENVILLE AVE STE 71598",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065311",
            "telephone_number": "972-360-9002",
            "fax_number": "972-947-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 GREENVILLE AVE STE 71598",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065311",
            "telephone_number": "972-360-9002",
            "fax_number": "972-947-5167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 Adleta Blvd Apt 2012",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752439263",
            "country_code": "US",
            "telephone_number": "904-422-7752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Greenville Ave Ste 252",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752065037",
            "country_code": "US",
            "telephone_number": "214-618-8402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CANAAN",
        "name_prefix": "Mr.",
        "credential": "MA, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-03",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "94965",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.