Justin Kalel Baksh, MS, LMHC, MCAP, QS,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14572 Issued in FL

Practice address

160 NW Central Park PLZ Ste 105
Port St Lucie, FL 34986-1825

Phone

(772) 361-6778

Fax

(772) 494-7271

NPI assigned

Feb 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Medical and Health Services LLCGroup PAC ID 4981097318, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Mindful Medical and Health Services LLC

  dba iMind Mental Health Solutions

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1720759954
  Medicare reassignment Care Compare group NPD Authorized official
• The Imind Foundation

  • Mental Health Counselor
  • Port Saint Lucie, FL
  • NPI 1255172631
  NPD Authorized official

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1447618590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW CENTRAL PARK PLZ STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861825",
            "telephone_number": "772-301-9500",
            "fax_number": "844-440-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW CENTRAL PARK PLZ STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861825",
            "telephone_number": "772-361-6778",
            "fax_number": "772-494-7271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 SE Central Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349945914",
            "country_code": "US",
            "telephone_number": "772-497-5985",
            "fax_number": "844-440-1724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 NW Central Park Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349862482",
            "country_code": "US",
            "telephone_number": "772-497-5985",
            "fax_number": "844-440-1724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKSH",
        "first_name": "JUSTIN",
        "middle_name": "KALEL",
        "name_prefix": "Mr.",
        "credential": "MS, LMHC, MCAP, QS,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH12788",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Ann Bailey, DMD
• Ryan Michael Bailey, DO
• Michael G. Bairey, D.C.
• Sandra Baker
• Alia Lynn Bakht, PHARMD
• Janet Balbuena Rodriguez
• Kaylee L Baldwin, MS., CFY-SLP
• Adam J Ball, M.D.
• Melinda Leigh Ball, D.O.
• Melanie Witzig Banack

• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.