Individual provider Active NPI

Tiha Baker

  • Professional Counselor
  • Oakland, CA
National Provider Identifier
1467807206
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC13052 Issued in CA
Practice address
248 3Rd St # 604
Oakland, CA 94607-4375
Phone
(510) 701-7815
NPI assigned
Apr 29, 2016
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X APC005227 GA
Professional Counselor 101YP2500X APCC3908 CA
Professional Counselor 101YP2500X LPCC13052 CA Primary

Addresses

Primary practice location

248 3Rd St # 604
Oakland, CA 94607-4375

Mailing address

248 3Rd St # 604
Oakland, CA 94607-4375
Phone (510) 701-7815

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240529001078 CA Practitioner - Other (Non-Physician) 6103268727 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC005227GAMDMental Health Counselor
APCC3908CAMDProfessional Counselor
LPCC13052CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Services, Inc. Current Accepting new patients
Create Your Peace Counseling & Wellness Center CurrentSince Nov 24, 2024 Accepting new patients
Bay Area Community Services, Inc. CurrentSince Mar 19, 2024 Accepting new patients
Bay Area Community Services, Inc. CurrentSince Mar 19, 2024 Accepting new patients
Episcopal Community Services of San Francisco PastSince Oct 1, 2021 Accepting new patients
Episcopal Community Services of San Francisco PastSince Oct 1, 2021 Accepting new patients

Locations

248 3rd St
#604
Oakland, CA 94607
Phone (510) 701-7815

390 40th St
Oakland, CA 94609
Phone (510) 247-8235

559 16th St
Oakland, CA 94612
Phone (510) 318-6112

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1467807206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 3RD ST # 604",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074375",
            "telephone_number": "510-701-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 3RD ST # 604",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074375",
            "telephone_number": "510-701-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TIHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC005227",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC3908",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC13052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.