Fred P Barker, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005041410 Issued in MO

Practice address

24 W Main St Ste 311
Wentzville, MO 63385-1600

Phone

(636) 486-6359

NPI assigned

Jun 16, 2009

Sex

Male

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

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1376770438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COYOTE RIDGE LN",
            "city": "DEFIANCE",
            "state": "MO",
            "postal_code": "633411360",
            "telephone_number": "636-485-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W MAIN ST STE 311",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851600",
            "telephone_number": "636-486-6359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Coyote Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "MO",
            "postal_code": "633411360",
            "country_code": "US",
            "telephone_number": "636-485-1127",
            "fax_number": "636-828-5655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Edgewater Pt # 401",
            "address_purpose": "LOCATION",
            "city": "Lake Saint Louis",
            "state": "MO",
            "postal_code": "633672954",
            "country_code": "US",
            "telephone_number": "636-422-2612",
            "fax_number": "636-265-2905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "FRED",
        "middle_name": "P",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005041410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua David Baird, DC
• Courtney M Baker, LPC
• Deanna Elizabeth Baker, MPT
• Sarah Ball, LPC
• Rodney J Bampton, DC
• Nicole M Barker, LPC
• Gina Nicole Bax, MSW, LCSW
• Ted Michael Beauchamp, DDS
• Joshua Thomas Beezley, DC
• Wendy Begonis

• Professional Counselor in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.