John Baker, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1330 Issued in MS

Practice address

214 Oakleigh Dr
Booneville, MS 38829-8241

Phone

(662) 523-0579

NPI assigned

Feb 19, 2008

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

Enrolled in MS

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

Specialty

Mental Health Counselor

Education

Mississippi Medical College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dutch Medical Clinics, IncGroup PAC ID 9234376088, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dutch Medical Clinics, Inc

  • Multi-Specialty Clinic/Center
  • Columbus, MS
  • NPI 1215276175
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1538337993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 OAKLEIGH DR",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388298241",
            "telephone_number": "662-523-0579",
            "fax_number": "662-286-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 OAKLEIGH DR",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388298241",
            "telephone_number": "662-523-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JOHN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Benjamin
• Anchor Anesthesia, LLC
• Audra Armistead
• Ryleigh Follin Austin
• Melissa Bain
• Nathan Ward Baldwin, MD
• Baptist Memorial Hospital-Booneville, Inc.
• Baptist Memorial Hospital-Booneville, Inc.
• Baptist Memorial Hospital-Booneville, Inc.
• Baptist Memorial Hospital-Booneville, Inc.

• Mental Health Counselor in Booneville, MS
• Providers in Booneville, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.