Jacob Christopher Baum, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17560 Issued in NC

Practice address

3800 Arco Corporate Dr Ste 150
Charlotte, NC 28273-4396

Phone

(866) 700-1606

NPI assigned

Jul 29, 2022

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

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 and National Provider Directory roles.

• Sparc Network

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1396155834

  Professional

  NPD (past)

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1467188672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11314 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264681",
            "telephone_number": "704-771-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ARCO CORPORATE DR STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734396",
            "telephone_number": "866-700-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11314 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282264681",
            "country_code": "US",
            "telephone_number": "704-771-8541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUM",
        "first_name": "JACOB",
        "middle_name": "CHRISTOPHER",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17560",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A17560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Bauer
• Keith James Baugh, MD
• Janice Baugher
• Anne Meredith Baughman, M.S.
• Aleah Jo Bauldry, OTR/L
• Shari J Baum, M.D.
• Elizabeth Baumbarger
• Thad D. Baumgardner, PHARMD
• Christina Mars Baumgarten, M.S., CCC-SLP
• Elijah Lee Torrance Baumgarten, PA-C

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.