Individual provider Active NPI

Kendra Baker, LPCA

  • Professional Counselor
  • Lenoir, NC
National Provider Identifier
1528513744
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A12421 Issued in NC
Practice address
315 Wilkesboro Blvd NE Ste 1a
Lenoir, NC 28645-4498
Phone
(828) 754-6087
Fax
(828) 754-1344
NPI assigned
Aug 17, 2016
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A12421 NC Primary

Addresses

Primary practice location

315 Wilkesboro Blvd NE Ste 1a
Lenoir, NC 28645-4498

Mailing address

201 Government Ave SW Ste 305
Hickory, NC 28602-2954
Phone (828) 267-1740

Other identifiers 1

IdentifierTypeStateIssuer
A12421OtherNCNC LICENSE BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240910004038 NC Practitioner - Clinical Social Worker 1557801297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Directions CS PLLCGroup PAC ID 3971558131, 9 clinicians

Practice addresses (Care Compare)

201 Government Ave SW
Suite 305
Hickory, NC 28602-2954
Phone (828) 267-1740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A12421NCMDProfessional Counselor
12421NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions CS PLLC Professional CurrentSince Jun 3, 2024 Accepting new patients
New Directions CS PLLC Professional Past Accepting new patients

Locations

201 Government Ave SW
Ste 305
Hickory, NC 28602
Phone (828) 267-1740

315 Wilkesboro Blvd NE
Ste 1A
Lenoir, NC 28645
Phone (828) 754-6087

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1528513744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GOVERNMENT AVE SW STE 305",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022954",
            "telephone_number": "828-267-1740",
            "fax_number": "828-267-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WILKESBORO BLVD NE STE 1A",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454498",
            "telephone_number": "828-754-6087",
            "fax_number": "828-754-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KENDRA",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE BOARD",
            "identifier": "A12421",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.