Robert Douglas Baize, CDP, NCAC I, MHP,
Individual provider Active NPI Mental Health Counselor · Bloomfield, IN
NPI 1245387828 · NPPES record last updated May 15, 2020
Key facts
- NPI
- 1245387828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39003718A (IN)
- Practice address
- 431 E Main St
Bloomfield, IN 47424-1460 - Phone
- (812) 384-9452
- Fax
- (812) 384-9445
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00005724 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH00005969 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health | Past | Accepting new patients | |
| Hamilton Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00005724 | WA | |
| Mental Health Counselor | 101YM0800X | LH00005969 | WA | |
| Mental Health Counselor | 101YM0800X | 39003718A | IN | Yes |
Addresses
Primary practice location
431 E Main St
Bloomfield, IN 47424-1460
Mailing address
PO Box 653
Sedro Woolley, WA 98284-0653
Phone (425) 349-8226
Other providers in Bloomfield, IN
- Lindsey Suzanne Bailey
- Melissa Jean Banther
- Katey Baruth
- Owen Albert Batterton
- Bloomfield Family Dental LLC
- Bloomfield School District
All providers in Bloomfield, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.