Active NPI
Karri Baker
- Mental Health Counselor
- Avondale, AZ
National Provider Identifier
1174340053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-22760
- Practice address
- 11213 W Ivory LN
Avondale, AZ 85392-3916 - Phone
- (602) 526-1549
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAC-22760 | AZ | |
| Community/Behavioral Health Agency | 251S00000X | LAC-22760 | AZ | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LAC-22760 | AZ | |
| Mental Health Counselor | 101YM0800X | LAC-22760 | AZ | Primary |
Addresses
Primary practice location
11213 W Ivory LN
Avondale, AZ 85392-3916
Mailing address
11213 W Ivory LN
Avondale, AZ 85392-3916
Phone (602) 526-1549
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 |
|---|---|---|---|
| LAC-22760 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1174340053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11213 W IVORY LN",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853923916",
"telephone_number": "602-526-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11213 W IVORY LN",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853923916",
"telephone_number": "602-526-1549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "KARRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LAC-22760",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "LAC-22760",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "AZ",
"license": "LAC-22760",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-22760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.