Dustin Ernest Baetz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH15074 Issued in FL

Practice address

1516 E Colonial Dr
Orlando, FL 32803-4740

Phone

(407) 894-1708

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1174192173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E PACKWOOD AVE APT H103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515749",
            "telephone_number": "347-229-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034740",
            "telephone_number": "407-894-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAETZ",
        "first_name": "DUSTIN",
        "middle_name": "ERNEST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH15074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Ruiz Baechler, M.D.
• Paul A. Baekey, M.D.
• Brian Baer, ATC
• Eileen M Baer, CRNA
• Adriana Nicole Baerga
• Lynette Baez Feliciano, RBT
• Mirayda Baez Garces
• Lady C Baez Pena, SA-C, P.A
• Joshua Baez Santiago
• Jose Ramon Baez Sosa, RBT

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.