Jesse Abraham Baker, MS, LPC-IT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3916-226 Issued in WI

Practice address

5555 Odana Rd Ste 202
Madison, WI 53719-1280

Phone

(608) 443-8828

NPI assigned

Feb 14, 2018

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

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 and National Provider Directory roles.

• Actualize Counseling & Consulting, LLC

  • Professional Counselor
  • Middleton, WI
  • NPI 1528831906
  NPD Authorized official
• Psychology Clinic Inc.

  • Clinic/Center
  • Madison, WI
  • NPI 1336222769
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1508366808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 ODANA RD STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191280",
            "telephone_number": "608-443-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 ODANA RD STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191280",
            "telephone_number": "608-443-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JESSE",
        "middle_name": "ABRAHAM",
        "credential": "MS, LPC-IT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3916-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Baker, RN
• Carisa Lynn Baker, NP
• Chauncey Baker, APSW
• Dara Rachel Baker
• Galen J Baker, DC
• Jessica Marie Baker, MD
• Jordan Bradford Baker, MD
• Lisa M. Baker, PH.D.
• Marteen Sharron Baker
• Natasha J Baker, CRNA

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.