Active NPI
Amber Renee Granger Baughman
- Mental Health Counselor
- Lake City, FL
National Provider Identifier
1487203956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12715
- Practice address
- 691 NW Jean CT
Lake City, FL 32055-7062 - Phone
- (386) 965-5192
- NPI assigned
- Sep 8, 2019
- Last updated
- Sep 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12715 | FL | Primary |
Addresses
Primary practice location
691 NW Jean CT
Lake City, FL 32055-7062
Mailing address
691 NW Jean CT
Lake City, FL 32055-7062
Phone (386) 965-5192
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12715 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1487203956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "691 NW JEAN CT",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320557062",
"telephone_number": "386-965-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 NW JEAN CT",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320557062",
"telephone_number": "386-965-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER BAUGHMAN",
"first_name": "AMBER",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-08",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "12715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.