Organization Active NPI

D. Baker Therapy LLC

  • Marriage & Family Therapist
  • Maple Grove, MN
National Provider Identifier
1376299495
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
D. BAKER THERAPY LLC
Practice address
7502 Urbandale LN N
Maple Grove, MN 55311-2258
Phone
(320) 420-5237
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Danielle Baker, MA, LMFTNPI 1205209558
Title
LMFT
Phone
(330) 420-5237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

7502 Urbandale LN N
Maple Grove, MN 55311-2258

Mailing address

7502 Urbandale LN N
Maple Grove, MN 55311-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250116002467 MN Part B Supplier - Clinic/Group Practice 6103354246 Receives reassigned benefits from 2 practitioners
Practice locations: Long Lake, MN

National Provider Directory

National Provider Directory

Locations

1850 W Wayzata Blvd
Ste 150
Long Lake, MN 55356
Phone (952) 240-9404

1850 W Wayzata Blvd
Ste 220
Long Lake, MN 55356
Phone (320) 420-5237

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1376299495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 URBANDALE LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 URBANDALE LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112258",
            "telephone_number": "320-420-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. BAKER THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "330-420-5237",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.