Dana Lynn Baker, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012875 Issued in IL

Practice address

3015 Village Office PL # B
Champaign, IL 61822-7674

Phone

(217) 239-6085

Fax

(217) 356-7964

NPI assigned

Dec 7, 2016

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dana Lynn Miller Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Champaign Counseling LLC

  • Clinical Social Worker
  • Savoy, IL
  • NPI 1770938359
  Medicare reassignment NPD

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1508300740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SOUTHWOOD DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215720",
            "telephone_number": "847-915-8654",
            "fax_number": "217-398-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 VILLAGE OFFICE PL # B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227674",
            "telephone_number": "217-239-6085",
            "fax_number": "217-356-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012562",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://app.therabill.com/provider",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "client info",
            "address_1": "3015 Village Office Pl # B",
            "city": "Champaign",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618227674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "MILLER",
            "middle_name": "LYNN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie(Tess) A Bailey, MD
• Hannah Baines
• Jasmine Baines, LSW
• Maria Lennie Baisa, M.D.
• Brady Baker
• John P Baker, PHD
• Linda Susan Baker, LPN
• Balgemann Optometry Group, Inc.
• Michael Garrett Balgemann, O.D.
• Randy Allan Ballard, ATC

• Professional Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.