Keith Leveq Baker, PLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P-1069 Issued in MS

Practice address

5740 Getwell Rd Ste D
Southaven, MS 38672-6346

Phone

(601) 790-0583

NPI assigned

Feb 27, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Lifeworks Counseling

  • Community/Behavioral Health Agency
  • Madison, MS
  • NPI 1124471412
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1497511364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22015 HALLIBURTON CV",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557357",
            "telephone_number": "225-505-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 GETWELL RD STE D",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726346",
            "telephone_number": "601-790-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KEITH",
        "middle_name": "LEVEQ",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "P-1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Jude Jessu Ayroor, MD
• Syed S Azmi, MD
• Michaeline Bailey
• Phyllis A Bailey, MS. CAT
• April Diane Bailye, LCSW
• Lauren Elizabeth Baker, FNP
• Tamila Baker
• Bakeris Chriopractic Clinic
• David Michael Bakeris, DC
• Balanced Minds and Wellness, PLLC

• All providers in Southaven, MS
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.