Blake Kristol Baum

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5795 Issued in CA

Practice address

9466 Black Mountain Rd Ste 100
San Diego, CA 92126-4550

Phone

(858) 689-2027

NPI assigned

Sep 15, 2010

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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

• The Autism Group, Inc.

  • Specialist
  • San Diego, CA
  • NPI 1619265311
  NPD (past)
• Therapeutic Approach to Growth, Inc.

  • Behavior Analyst
  • San Diego, CA
  • NPI 1699153700
  NPD (past)
• Butterfly Effects

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pompano Beach, FL
  • NPI 1104124940
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1184932949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9466 BLACK MOUNTAIN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264550",
            "telephone_number": "858-689-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9466 BLACK MOUNTAIN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264550",
            "telephone_number": "858-689-2027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5411 Avenida Encinas Ste 110",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920084409",
            "country_code": "US",
            "telephone_number": "760-448-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUM",
        "first_name": "BLAKE",
        "middle_name": "KRISTOL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "5795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Baugher
• Cathy Ann Baughman-Gross, FNP
• Jenay Baughman
• Ryan Thomas Baukhages, DO
• Ariane Eigen Baum, DPT
• Elizabeth Baum
• Julia Baum
• Dawn Lisa Bauman, LVN
• Dennis Ryan Bauman Jr.
• Laura Elizabeth Bauman, M.D.

• Professional Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.