Elizabeth Tracy Baxt

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC20764 Issued in CA

Practice address

150 N Grand Ave Ste 212
West Covina, CA 91791-1757

Phone

(626) 915-2119

Fax

(909) 596-4955

NPI assigned

Jul 14, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in CA

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

Marriage and Family Therapist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• B&a Professional Services

  • Marriage & Family Therapist
  • Covina, CA
  • NPI 1427269315
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457377277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 CLEMSON AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113041",
            "telephone_number": "909-518-0329",
            "fax_number": "909-596-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N GRAND AVE STE 212",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911757",
            "telephone_number": "626-915-2119",
            "fax_number": "909-596-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXT",
        "first_name": "ELIZABETH",
        "middle_name": "TRACY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC20764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Barrios, SLPA
• Taylor Basford
• Helen Bashoura, M.D.
• Noel Benedict Buenaventura Bautista, MD
• Noemi Tolentino Bautista, D.M.D.
• Heidi Baxter, O.D.
• Elizabeth Reyes Baylon, D.M.D.
• Brianna Becerra
• Marisol Becerra
• Gurleen Bedi, SLPA

• Marriage & Family Therapist in West Covina, CA
• Providers in West Covina, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.