Kathy Ann Baker, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701003621 Issued in VA

Practice address

2473 N Landing Rd
Municipal Center Building 23
Virginia Beach, VA 23456-3404

Phone

(757) 385-4537

Fax

(757) 385-4533

NPI assigned

Sep 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Colonial Psychotherapy ServicesGroup PAC ID 2264334069, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• First Colonial Psychotherapy Services

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1336294479

  VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1104134766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 RIDDLESWORTH DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567815",
            "telephone_number": "757-427-0184",
            "fax_number": "757-385-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 N LANDING RD",
            "address_2": "MUNICIPAL CENTER BUILDING 23",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563404",
            "telephone_number": "757-385-4537",
            "fax_number": "757-385-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daryl O. Baker
• Everdna L Baker, LPN
• Jennifer R Baker, NP
• Kate Baker
• Kathryn Arielle Vlietstra Baker, AU.D.
• Megan Nicole Baker
• Samantha Paige Baker, LPC
• Selena Baker, LPC
• Shenekia M Baker, RVT
• Thomas P. Baker, L.C.S.W.

• All providers in Virginia Beach, VA
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.