Individual provider Active NPI

Jeffrey P Baker, LPC ASSOCIATE

  • Counselor
  • Round Rock, TX
National Provider Identifier
1386228278
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
85794 Issued in TX
Practice address
1101 Satellite VW Unit 603
Round Rock, TX 78665-1592
Phone
(512) 212-7045
NPI assigned
May 7, 2021
Last updated
May 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 85794 TX Primary

Addresses

Primary practice location

1101 Satellite VW Unit 603
Round Rock, TX 78665-1592

Mailing address

10306 Morado CV Apt 262
Austin, TX 78759-5663
Phone (570) 801-2489

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241120002129 TX Practitioner - Mental Health Counselor 7214462787 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85794TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Counseling LLC CurrentSince Sep 14, 2024 Accepting new patients

Locations

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

15901 Central Commerce Dr
Ste 502
Pflugerville, TX 78660
Phone (512) 251-1611

1101 Satellite Vw
Unit 603
Round Rock, TX 78665
Phone (512) 212-7045

Interoperability endpoints

  • Direct secure messaging: therapyunlocked.jeffreybaker@155920.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1386228278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 MORADO CV APT 262",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595663",
            "telephone_number": "570-801-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SATELLITE VW UNIT 603",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651592",
            "telephone_number": "512-212-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "85794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.