Connie Dennise Baldwin, MS, LMHC(FL),LPC(TX)

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH5223 Issued in FL

Practice address

3922 Jace Dr
Crestview, FL 32539-6510

Phone

(210) 885-5963

NPI assigned

Dec 23, 2009

Last updated

Apr 23, 2018By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Hoof Steps Corporation

  • Mental Health Counselor
  • Crestview, FL
  • NPI 1760007199
  NPD (past)

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1487983367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 OLDE POST RD",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783905",
            "telephone_number": "210-885-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 JACE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396510",
            "telephone_number": "210-885-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "CONNIE",
        "middle_name": "DENNISE",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC(FL),LPC(TX)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63853",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "10460723-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH5223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Kristina Aull, M.S., BCBA
• Kaitlen Autrey
• Gabriella Avalos
• Muhammad Azzam Awan, DMD
• Monica L Baker
• Jill Ballantyne
• Shannon Rae Banaszak
• Glenn M Bankert, D.O
• Beverly H. Barbarisi, LMHC
• Barbee Medical Group LLC

• Professional Counselor in Crestview, FL
• Providers in Crestview, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.