Douglas Clowes Baird, LCSW
Individual provider Active NPI Mental Health Counselor · Louisville, KY
NPI 1497516744 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1497516744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 258621 (KY)
- Practice address
- 2323 Hawthorne Ave
Louisville, KY 40205-2620 - Phone
- (502) 640-9297
- NPI assigned
- Jan 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ava Health and Wellness PLLC
Practice addresses (Care Compare)
417 Benjamin LN
Suite 101
Louisville, KY 40222-4939
Phone (502) 289-9306
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240411001577 | KY | Practitioner - Clinical Social Worker | 9638518525 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ava Health and Wellness PLLC | Current |
Accepting new patients | |
| Metro Pediatric Associates PLLC | Past | Accepting new patients |
Locations
417 Benjamin Ln
Louisville, KY 40222
Phone (502) 289-9306
9462 Brownsboro Rd
Louisville, KY 40241
Phone (502) 396-3320
417 Benjamin Ln
Ste 101
Louisville, KY 40222
Phone (502) 289-9306
9811 Brownsboro Rd
Ste 101
Louisville, KY 40241
Phone (502) 289-9306
Interoperability endpoints
- https://api.platform.athenahealth.com/15826/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 258621 | KY | Yes |
Addresses
Primary practice location
2323 Hawthorne Ave
Louisville, KY 40205-2620
Mailing address
2323 Hawthorne Ave
Louisville, KY 40205-2620
Phone (502) 640-9297
Other providers in Louisville, KY
- Sandra D Bailey
- Sharon Ann Bailey
- Sherrell Kay Bailey
- Thomas Patrick Bailey
- Amy Goodwin Baird
- Douglas James Baird
- Evan Baird
- Jessica A Baird
- John R. Baird
- Rachel Shannon Baird
All providers in Louisville, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.