Duane Baldridge

Individual provider Active NPI Professional Counselor · Emporia, KS

NPI 1194615674 · NPPES record last updated Oct 27, 2025

Key facts

NPI
1194615674
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1030 (KS)
Practice address
1519 Merchant St
Emporia, KS 66801-5005
Phone
(620) 343-2211
Fax
(620) 342-1021
NPI assigned
Jul 7, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1030KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of East Central Kansas a Corporation Past
since Jul 13, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1030 KS Yes

Addresses

Primary practice location

1519 Merchant St
Emporia, KS 66801-5005

Mailing address

1519 Merchant St
Emporia, KS 66801-5005
Phone (620) 343-2211

Other identifiers

IdentifierTypeStateIssuer
1030OtherKSBSRB LICENSE

Other providers in Emporia, KS

All providers in Emporia, KS · Professional Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.