Catherine Frey Baldwyn, M.ED., NCC, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

813 Varsity Dr
Suite 5
Tupelo, MS 38801-4703

Phone

(662) 840-2005

NPI assigned

May 14, 2013

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• Illuminated Life Counseling LLC

  • Counselor
  • Tupelo, MS
  • NPI 1407733371
  Medicare reassignment NPD Authorized official
• Heale Counseling, LLC

  • Mental Health Counselor
  • Tupelo, MS
  • NPI 1093410243
  Medicare reassignment NPD
• Counseling for a Cause, LLC

  • Adult Mental Health Clinic/Center
  • Tupelo, MS
  • NPI 1831627405

  Professional

  NPD

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1538505730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BOB WHITE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016152",
            "telephone_number": "662-871-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 VARSITY DR",
            "address_2": "SUITE 5",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014703",
            "telephone_number": "662-840-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWYN",
        "first_name": "CATHERINE",
        "middle_name": "FREY",
        "credential": "M.ED., NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janie Bain
• Akira Keyana Baker, NP
• Calvin Charles Patrick Baker, MD
• Lewis S Baker
• Paul M. Baker, CRNA
• Charlotte Wood Baldwyn
• Amy M. Ballard, P.A.
• Andrew Ballard
• Jeffrey Ballard, APRN,FNP-BC
• Richard Dane Ballard, M.D.

• Counselor in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.