Danielle Baker, MA, LMFT
Individual provider Active NPI Marriage & Family Therapist · Long Lake, MN
NPI 1205209558 · NPPES record last updated Oct 3, 2023
Key facts
- NPI
- 1205209558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2924 (MN)
- Practice address
- 1850 W Wayzata Blvd
Long Lake, MN 55356-4413 - Phone
- (320) 420-5237
- NPI assigned
- Nov 9, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250213003057 | MN | Practitioner - Marriage and Family Therapist | 6002280096 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2924 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D. Baker Therapy LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
1850 W Wayzata Blvd
Ste 150
Long Lake, MN 55356
Phone (952) 240-9404
1850 W Wayzata Blvd
Ste 220
Long Lake, MN 55356
Phone (320) 420-5237
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2924 | MN | Yes |
Addresses
Primary practice location
1850 W Wayzata Blvd
Long Lake, MN 55356-4413
Mailing address
7502 Urbandale LN N
Maple Grove, MN 55311-2258
Phone (320) 420-5237
Other providers in Long Lake, MN
- A & O Health Group, LLC
- Align Health & Wellness PA
- Anna Barlage LMFT PLLC
- Anna Katherine Barlage
- Debra Kay Maas Bellingham
- Anthony Walter Boe
- Centering Your Life Psychology PLLC
- Chirocenter Inc.
All providers in Long Lake, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.