Baker Counseling Center LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BAKER COUNSELING CENTER LLC

Practice address

611 Sullivan Rd
Statesville, NC 28677-3437

Phone

(704) 762-7400

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Sally Ironside Haynes, LCMHCNPI 1669734539

Title

Owner

Phone

(704) 762-7400

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally Ironside Haynes, LMHC, MAC, EMDR CERT

  • Professional Counselor
  • Statesville, NC
  • NPI 1669734539

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1609320332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SULLIVAN RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773437",
            "telephone_number": "704-762-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SULLIVAN RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773437",
            "telephone_number": "704-762-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "IRONSIDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-762-7400",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Billie Bailey
• Crystal Centeno Bajek, MSW, LCSW
• James Michael Baker, LPC, LCAS
• Angela Lunsford Baldwin, CRNA
• Candice Elyse Ball, APRN
• Misty Ballinger, RDH
• Amy Kathleen Balok

• All providers in Statesville, NC
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.