Serena Baker

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-19300 Issued in AZ

Practice address

2200 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0764

Phone

(623) 900-4401

NPI assigned

Oct 13, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1427656370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E WILLIAMS FIELD RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E WILLIAMS FIELD RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950764",
            "telephone_number": "623-900-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SERENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-19300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charise@affinityfamilycounseling.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2200 E Williams Field Rd Ste 200",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852950764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Baker, LCSW
• Michelle Baker, LPN
• Nathan Baker
• Nazia Shakir Baker, PA-C
• Nicole A. Baker, PT
• Susan R Baker, COTA-L
• Drew Catherine Bakhaus
• Balance Hormone Center
• Balance Midwifery and Women's Health
• Balanced Behavioral Health LLC

• Mental Health Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.