Kevin Dale Baker, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401010547 Issued in MI

Practice address

2226 Homecrest Ave
Kalamazoo, MI 49001

Phone

(269) 303-0345

NPI assigned

May 7, 2009

Last updated

May 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Suunta Integrative HealthGroup PAC ID 8022340900, 7 clinicians

Moxie Mental HealthGroup PAC ID 2567997307, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Moxie Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kalamazoo, MI
  • NPI 1467132837
  Medicare reassignment Care Compare group NPD
• Suunta Integrative Health

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1720646508
  Medicare reassignment Care Compare group NPD
• Bronson Battle Creek Hospital

  dba Bronson Medical Group

  • Internal Medicine Physician
  • Battle Creek, MI
  • NPI 1093119638
  Medicare reassignment NPD
• Bronson Methodist Hospital

  dba Bronson Medical Group

  • Hospitalist Physician
  • Kalamazoo, MI
  • NPI 1417961137
  Medicare reassignment NPD
• Bronson Battle Creek Hospital

  dba Bronson Battle Creek Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Battle Creek, MI
  • NPI 1740351907
  NPD

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1063646875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 HOMECREST AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014551",
            "telephone_number": "269-303-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 HOMECREST AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49001",
            "telephone_number": "269-303-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KEVIN",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401010547",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Baker
• Dellaunna Baker
• Joanne M Baker, DO
• Katelyn Faye Baker
• Kaylen Aaliyah Baker
• Laura Kathryn Baker, LLPC
• Linda Baker
• Melissa A Baker, DO
• Robert Jon Baker, M.D.
• Ryan Charles Baker, DPT

• Mental Health Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.