Active NPI
Devon Shane Baker
- Mental Health Counselor
- San Mateo, CA
National Provider Identifier
1568239184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 327 N San Mateo Dr Ste 9
San Mateo, CA 94401-2585 - Phone
- (650) 549-5009
- NPI assigned
- Dec 4, 2023
- Last updated
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
327 N San Mateo Dr Ste 9
San Mateo, CA 94401-2585
Mailing address
3130 Alpine Rd Ste 288 PMB 135
Portola Valley, CA 94028-7541
Phone (650) 549-5009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1568239184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 ALPINE RD STE 288 PMB 135",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287541",
"telephone_number": "650-549-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 N SAN MATEO DR STE 9",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012585",
"telephone_number": "650-549-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "DEVON",
"middle_name": "SHANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.