Catherine Victoria Baeza

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6451023691 Issued in MI

Practice address

8080 Moorsbridge Rd
Portage, MI 49024-4421

Phone

(269) 795-6681

NPI assigned

Oct 7, 2024

Last updated

Oct 7, 2024By 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 names 1

• Cat Victoria Baeza Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michigan Integrated Therapies

  • Mental Health Counselor
  • Portage, MI
  • NPI 1003522061
  NPD (past)
• Michigan Integrated Therapies

  • Mental Health Counselor
  • Portage, MI
  • NPI 1275032807
  NPD (past)

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1427877463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 DENNER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063114",
            "telephone_number": "269-312-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244421",
            "telephone_number": "269-795-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZA",
        "first_name": "CATHERINE",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6451023691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAT",
            "last_name": "BAEZA",
            "middle_name": "VICTORIA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• B and C Rehab Services LLC
• B Well Services
• Back to Health Chiropractic - Portage PC
• Sayuz Bade Shrestha
• Brent J Baese, AGNP-C
• Mary Jean Baggerman, MA
• Rachel Bailey, NP-C
• Sydnee Baker
• Heather Bakken
• Beverly R Baldwin, NP-C

• Addiction (Substance Use Disorder) Counselor in Portage, MI
• Providers in Portage, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.