Active NPI
Kelly Baez
- Professional Counselor
- Columbus, GA
National Provider Identifier
1093046385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005763
- Practice address
- 2028 Cherokee Dr
Columbus, GA 31906-1005 - Phone
- (706) 888-4319
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | TPMC359 | FL | |
| Professional Counselor | 101YP2500X | TLC2145 | SC | |
| Professional Counselor | 101YP2500X | LPC005763 | GA | Primary |
Addresses
Primary practice location
2028 Cherokee Dr
Columbus, GA 31906-1005
Mailing address
2028 Cherokee Dr
Columbus, GA 31906-1005
Phone (706) 888-4319
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005763 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1093046385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 CHEROKEE DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319061005",
"telephone_number": "706-888-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 CHEROKEE DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319061005",
"telephone_number": "706-888-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEZ",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "TPMC359",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "TLC2145",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.