Baker Community Counseling Services, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

0402AD048000 Issued in FL

Legal business name

BAKER COMMUNITY COUNSELING SERVICES, INC.

Practice address

213 E Macclenny Ave
Macclenny, FL 32063-2121

Phone

(904) 259-0264

Fax

(904) 259-0265

NPI assigned

Apr 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Christopher Padgett, CAP, ICADC

Title

Clinical Director

Phone

(904) 259-0264

Specialties & licenses 1

Addresses

Other names 1

• BCCS Inc. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Elizabeth Southard, LMHC

  • Mental Health Counselor
  • Macclenny, FL
  • NPI 1164810867
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083678700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E MACCLENNY AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632121",
            "telephone_number": "904-259-0264",
            "fax_number": "904-259-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E MACCLENNY AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632121",
            "telephone_number": "904-259-0264",
            "fax_number": "904-259-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER COMMUNITY COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "904-259-0264",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAP, ICADC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "0402AD048000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCCS Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sergio M. Arcey, M.D.
• Olga Ines Arias, D. O.
• Tina Ashley
• Amanda Nicole Bailey, LMHC
• Vivencio Paclibar Baitan, M.D.
• Baker Community Health Center Inc
• Baker Community Medical Practice Inc (Dopson Family Medical Center)
• Baker County Chiropractic Center
• Baker County Council on Aging, Inc
• Baker County Hospital Authority

• Public Health or Welfare Agency in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Public Health or Welfare Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.