Active NPI
Leland Wayne Baker, MSW
- Mental Health Counselor
- Taholah, WA
National Provider Identifier
1073733457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LW00009203
- Practice address
- 1505 Kla-Ook-Wah Dr
Taholah, WA 98587 - Phone
- (360) 276-4405
- Fax
- (360) 276-4474
- NPI assigned
- Apr 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LW00009203 | WA | Primary |
Addresses
Primary practice location
1505 Kla-Ook-Wah Dr
Taholah, WA 98587
Mailing address
520 Lincoln St
Hoquiam, WA 98550
Phone (360) 276-4405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LW00009203 | Other | WA | WA STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00009203 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger Saux Health Center | Past | 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.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Taholah, WA
- NPI 1427171628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073733457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 LINCOLN ST",
"city": "HOQUIAM",
"state": "WA",
"postal_code": "98550",
"telephone_number": "360-276-4405",
"fax_number": "360-276-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 KLA-OOK-WAH DR",
"city": "TAHOLAH",
"state": "WA",
"postal_code": "98587",
"telephone_number": "360-276-4405",
"fax_number": "360-276-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "LELAND",
"middle_name": "WAYNE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LW00009203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE",
"identifier": "LW00009203",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taholah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.