Active NPI
Dawn Janelle Baxley, LPC
- Mental Health Counselor
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH24107
- Practice address
- 15311 Cortez Blvd
Brooksville, FL 34613-6005 - Phone
- (352) 467-6134
- NPI assigned
- Oct 11, 2006
- Last updated
- Nov 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH24107 | FL | Primary |
| Community/Behavioral Health Agency | 251S00000X | 5269 | NC |
Addresses
Primary practice location
15311 Cortez Blvd
Brooksville, FL 34613-6005
Mailing address
2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 281-9065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dawn.BaxleyLMHC@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Behavioral Health Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH24107 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health, Inc | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Past | Accepting new patients | |
| Baycare Behavioral Health Inc. | Past | Accepting new patients |
Locations
15311 Cortez Blvd
Brooksville, FL 34613
Phone (352) 467-6529
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200
560 Jackson St N
Ste 302
St Petersburg, FL 33705
Phone (727) 820-7701
Interoperability endpoints
- dawn.baxleylmhc@direct.mybaycare.org
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1225312549
-
dba Harbor
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1508864521
-
dba BH Mandala Urgent Care
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1801611132
-
dba Doris Cook
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dade City, FL
- NPI 1831451137
-
dba BayCare Life Management
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1720540578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1235228131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-281-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15311 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346136005",
"telephone_number": "352-467-6134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXLEY",
"first_name": "DAWN",
"middle_name": "JANELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH24107",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "5269",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dawn.BaxleyLMHC@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Behavioral Health Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "15311 Cortez Blvd",
"city": "Brooksville",
"state": "FL",
"country_code": "US",
"postal_code": "346136005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.