Mark Baldwin, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1878 Issued in TN

Practice address

575 S Royal St
Suite 24
Jackson, TN 38301-7307

Phone

(731) 467-0504

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifeworks Resources LLCGroup PAC ID 2860844560, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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 and National Provider Directory roles.

• Lifeworks Resources, LLC

  • Professional Counselor
  • Jackson, TN
  • NPI 1811490964

  Professional, TN

  Medicare reassignment Care Compare group NPD Authorized official
• Mark Baldwin

  • Professional Counselor
  • Jackson, TN
  • NPI 1871953182

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1407069321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOLIDAY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S ROYAL ST",
            "address_2": "SUITE 24",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017307",
            "telephone_number": "731-467-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1878",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "1878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506474",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Baker, CASE MANAGER
• Heather Marie Baker
• John Baker, MD
• Valerie Baker, LMSW
• Joel Atangan Balajadia, P.T.
• Michelle D. Baldwin, DNP, APRN, FNP-C
• John J Ball, MD
• Tawanna R Ballard
• Thomas Kelly Ballard III, MD
• Sheryl F Banaag, CM

• All providers in Jackson, TN
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.