Nicole Renee-Hauser Baker, PHD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3828 Issued in MN

Practice address

815 Highway 10 Ste 102
Elk River, MN 55330-5204

Phone

(763) 274-0510

Fax

(763) 441-3117

NPI assigned

Jun 6, 2013

Last updated

Dec 12, 2024By 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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• The Creative Therapy Center, LLC

  • Marriage & Family Therapist
  • Elk River, MN
  • NPI 1609196898
  Medicare reassignment NPD Authorized official
• Joining Hands Creative Counseling & Wellness, LLC

  • Clinical Social Worker
  • Elk River, MN
  • NPI 1295101996
  NPD (past)

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1326486879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HIGHWAY 10 STE 102",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553305204",
            "telephone_number": "320-980-5088",
            "fax_number": "763-441-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HIGHWAY 10 STE 102",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553305204",
            "telephone_number": "763-274-0510",
            "fax_number": "763-441-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "NICOLE",
        "middle_name": "RENEE-HAUSER",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalon Home Care
• CHI-CHI Nwasinachukwu Phina Ayika, MBBS
• Kai Michael Badua, DC
• Skylar Baham
• Demitu Baissa-Tesfahun
• Tasha Marie Baldwin
• Nina Philicia Bangu, RN, BSN
• Katherine Banovetz
• Sophia Ren'E Barling
• Marilyn E Barnes, PNP

• Marriage & Family Therapist in Elk River, MN
• Providers in Elk River, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.