Individual provider Active NPI

Karen Nicoletti Baugh, LMHC

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1104136951
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4848 Issued in FL
Practice address
3615 SW 13TH St
Suite 4
Gainesville, FL 32608-3517
Phone
(352) 244-0628
Fax
(352) 244-0668
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH4848 FL Primary
Counselor 101Y00000X MH4848 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X MH4848 FL

Addresses

Primary practice location

3615 SW 13TH St
Suite 4
Gainesville, FL 32608-3517

Mailing address

2635 SW 35TH PL
Apt. 803
Gainesville, FL 32608-3294
Phone (352) 244-0628

Other identifiers 1

IdentifierTypeStateIssuer
761854900MedicaidFL

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

LicenseStateTypeSpecialty
MH4848FLMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1104136951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 SW 35TH PL",
            "address_2": "APT. 803",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083294",
            "telephone_number": "352-244-0628",
            "fax_number": "352-244-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SW 13TH ST",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083517",
            "telephone_number": "352-244-0628",
            "fax_number": "352-244-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "KAREN",
        "middle_name": "NICOLETTI",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4848",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH4848",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH4848",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761854900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.