Individual provider Active NPI

Annie Elizabeth Baker, NCC

  • Mental Health Counselor
  • Berwyn, PA
National Provider Identifier
1104312149
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
465 Winston Way
Berwyn, PA 19312-1145
Phone
(717) 891-7280
NPI assigned
Jul 2, 2018
Last updated
Jul 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

465 Winston Way
Berwyn, PA 19312-1145

Mailing address

320 King of Prussia Rd FL 2
Radnor, PA 19087-4440
Phone (800) 736-3739

Other practice location 1

320 King Of Prussia Rd Fl 2
Radnor, PA 19087-4440
Phone (800) 736-3739

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

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1104312149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 KING OF PRUSSIA RD FL 2",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190874440",
            "telephone_number": "800-736-3739",
            "fax_number": "610-293-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINSTON WAY",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121145",
            "telephone_number": "717-891-7280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 King Of Prussia Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Radnor",
            "state": "PA",
            "postal_code": "190874440",
            "country_code": "US",
            "telephone_number": "800-736-3739",
            "fax_number": "610-293-7680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ANNIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.