Jennifer A Baker, LPC RPT ACS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00480700 Issued in NJ

Practice address

1044 Lacey Rd
Suite 7
Forked River, NJ 08731-1051

Phone

(732) 581-2178

NPI assigned

Sep 30, 2013

Last updated

May 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Jennifer Baker, LLC

  dba Active Therapeutic Solutions

  • Community/Behavioral Health Agency
  • Forked River, NJ
  • NPI 1962935726
  Authorized official Same address or phone

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463184000000",
    "number": "1285061747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 2ND AVE",
            "address_2": "APT 15C",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201184",
            "telephone_number": "732-581-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 LACEY RD",
            "address_2": "SUITE 7",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311051",
            "telephone_number": "732-581-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "LPC RPT ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2016-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00480700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Behavior Analysis
• Raouf Azer
• Sayeed B Aziz, MD
• Nicole Gabrielle Babushkin, MD
• Ray Baet, PT
• Jillian Noel Baldwin
• Dena Louise Balo, LAC
• Marc S Barclay, RPH
• Clifford E Barneman, PSY D
• Kristina Barone

• Professional Counselor in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; 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.