Individual provider Active NPI

Ronnie Baker, LPCA

  • Professional Counselor
  • Fayetteville, NC
National Provider Identifier
1477980209
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A9968 Issued in NC
Practice address
6885 Cliffdale Rd
Fayetteville, NC 28314-2833
Phone
(910) 339-0400
Fax
(910) 339-0396
NPI assigned
Oct 11, 2013
Last updated
Oct 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A9968 NC Primary

Addresses

Primary practice location

6885 Cliffdale Rd
Fayetteville, NC 28314-2833

Mailing address

1716 Royal Gorge Rd
Fayetteville, NC 28304-5976
Phone (910) 527-1819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A9968NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1477980209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 ROYAL GORGE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045976",
            "telephone_number": "910-527-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 CLIFFDALE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142833",
            "telephone_number": "910-339-0400",
            "fax_number": "910-339-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "RONNIE",
        "name_prefix": "Mr.",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.