Individual provider Active NPI

Danielle Baker, MA, LMFT

  • Marriage & Family Therapist
  • Long Lake, MN
National Provider Identifier
1205209558
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2924 Issued in MN
Practice address
1850 W Wayzata Blvd
Long Lake, MN 55356-4413
Phone
(320) 420-5237
NPI assigned
Nov 9, 2015
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2924 MN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250213003057 MN Practitioner - Marriage and Family Therapist 6002280096 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
D. Baker Therapy LLC Marriage & Family Therapist CurrentSince Nov 26, 2024 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

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, 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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1205209558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 URBANDALE LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112258",
            "telephone_number": "320-420-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W WAYZATA BLVD",
            "city": "LONG LAKE",
            "state": "MN",
            "postal_code": "553564413",
            "telephone_number": "320-420-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DANIELLE",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Lake, MN

Sources for this page

Verify at the official NPI Registry.