Tina Marie Baeten, LCSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13791 Issued in WI

Practice address

2920 S Webster Ave Ste B
Green Bay, WI 54301-1594

Phone

(920) 632-4471

Fax

(920) 632-4315

NPI assigned

Jan 9, 2007

Last updated

Dec 6, 2022By 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

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

DRG Clinical SCGroup PAC ID 4082053616, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• DRG Clinical, SC

  dba Weston Psychiatric

  • Psychiatry Physician
  • Weston, WI
  • NPI 1255048633
  Medicare reassignment Care Compare group NPD
• In Focus Counseling, LLC

  • Mental Health Counselor
  • De Pere, WI
  • NPI 1477285260

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1386793248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342369116",
            "telephone_number": "904-605-4986",
            "fax_number": "941-460-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 S WEBSTER AVE STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011594",
            "telephone_number": "920-632-4471",
            "fax_number": "920-632-4315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W6144 Aerotech Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549147503",
            "country_code": "US",
            "telephone_number": "920-733-2065",
            "fax_number": "920-574-3273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAETEN",
        "first_name": "TINA MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "13791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39382000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul N Baek, MD
• Mallory H Baerenwald, MS,RD,CD
• Baeten Counseling & Consultation Team, S.C.
• Brianna Lynn Baeten, PA
• Pamela C Baeten, M.D.
• Kathleen J Bahler, MSSW ACSW LSW
• Michelle Bahrke, APNP
• Megan Baierl, AT
• Cheryl L Bailey, M.D.
• James Patrick Bailey, MD

• Addiction (Substance Use Disorder) Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.