Matthew Baker

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2018045596 Issued in MO

Practice address

9233 Ward Pkwy Ste 125
Kansas City, MO 64114-3340

Phone

(816) 561-9494

NPI assigned

Aug 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1215417399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 W 79TH TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083839",
            "telephone_number": "816-809-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 WARD PKWY STE 125",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143340",
            "telephone_number": "816-561-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 19th Ter",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082026",
            "country_code": "US",
            "telephone_number": "816-404-5709",
            "fax_number": "816-404-5739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-17",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018045596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490066785",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Ann Suk Baker, MD
• Kristin Baker, APRN FNP
• Laura L Baker, MS, APRN, BC
• Levi Scott Baker, LMSW
• Marilyn Sue Baker, RPH
• Randall Ernest Baker, LCSW
• Renee Baker, APRN
• Renee Baker, LPN
• Shelley S Baker, OTR/L
• Dmitri Victorovich Baklanov, MD

• All providers in Kansas City, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.