Nicole Baca, CPSW

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1142 Issued in NM

Practice address

320 Osuna Rd NE Ste H4
Albuquerque, NM 87107-5955

Phone

(505) 345-2778

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Female

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Cornerstone Lifeworks LLC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1841837119
  NPD

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1316515299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE STE H4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075955",
            "telephone_number": "505-345-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE STE H4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075955",
            "telephone_number": "505-345-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "NICOLE",
        "credential": "CPSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPSW NUMBER",
            "identifier": "1142",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ALBUQUERQUE",
            "affiliation": "N",
            "endpointDescription": "Address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "ALBUQUERQUE",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://www.cornerstonelifeworks.com/",
            "address_1": "320 Osuna Rd NE Ste H4",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871075955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Denise Baca, RN
• Miranda Nicholle Baca
• Monique C Baca, LMHC
• Nancy Baca
• Nicholas M Baca, LMT
• Philip Martin Baca, P.T.
• Randolph P Baca Jr., MD
• Robert Baca, RPH
• Samantha Baca, P.A.-C.
• Severo Baca III

• Peer Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Peer Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.