Individual provider Active NPI

Qattaria L Baker, LPC, LCDC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1174372973
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89743 Issued in TX
Practice address
5821 Southwest Fwy Ste 200
Houston, TX 77057-7501
Phone
(713) 910-0296
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 89743 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 15653 TX
Mental Health Counselor 101YM0800X 89743 TX
Professional Counselor 101YP2500X 89743 TX Primary

Addresses

Primary practice location

5821 Southwest Fwy Ste 200
Houston, TX 77057-7501

Mailing address

5821 Southwest Fwy Ste 200
Houston, TX 77057-7501
Phone (713) 910-0296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240716004006 TX Practitioner - Mental Health Counselor 6204371040 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89743TXMDCounselor
15653TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Admore Behavioral Therapy Mental Health CurrentSince May 19, 2024 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Dec 16, 2024 Accepting new patients
Senior Psychological Care I, LLC Counselor CurrentSince Jun 25, 2024 Accepting new patients
Admore Physical & Speech Rehab, LLC PastSince May 19, 2024 Accepting new patients

Locations

1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

4653 SW Fwy
Ste 635
Houston, TX 77027

5821 Southwest Fwy
Ste 200
Houston, TX 77057
Phone (713) 910-0296

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

920 E Avenue L
Silsbee, TX 77656
Phone (409) 385-5571

6602 Memorial Dr
Texas City, TX 77591
Phone (409) 935-2451

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1174372973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 SOUTHWEST FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577501",
            "telephone_number": "713-910-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 SOUTHWEST FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577501",
            "telephone_number": "713-910-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "QATTARIA",
        "middle_name": "L",
        "credential": "LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "89743",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15653",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89743",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.