Individual provider Active NPI

Jacqueline Leigh Ward-Baker, LCPC

  • Professional Counselor
  • Salisbury, MD
National Provider Identifier
1184050213
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5298 Issued in MD
Practice address
201 Pine Bluff Rd Ste 2
Salisbury, MD 21801-7163
Phone
(410) 713-4058
NPI assigned
Sep 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC5298 MD Primary

Addresses

Primary practice location

201 Pine Bluff Rd Ste 2
Salisbury, MD 21801-7163

Mailing address

5061 Cooper Rd
Eden, MD 21822-2155
Phone (410) 713-4058

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
LC5298MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1184050213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 COOPER RD",
            "city": "EDEN",
            "state": "MD",
            "postal_code": "218222155",
            "telephone_number": "410-713-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD STE 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017163",
            "telephone_number": "410-713-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD-BAKER",
        "first_name": "JACQUELINE",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.