Active NPI
Laura Baird, LMFT. APCC
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1639610025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT122364
- Practice address
- 9445 Farnham St Ste 100
San Diego, CA 92123-1308 - Phone
- (619) 838-3287
- Fax
- (858) 569-2418
- NPI assigned
- Mar 17, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT122364 | CA | Primary |
| Professional Counselor | 101YP2500X | PCCI3686 | CA |
Addresses
Primary practice location
9445 Farnham St Ste 100
San Diego, CA 92123-1308
Mailing address
9445 Farnham St Ste 100
San Diego, CA 92123-1308
Phone (619) 838-3287
Other practice location 1
3340 Kemper St
Suite 105
San Diego, CA 92110-4906
Phone (619) 523-8121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373781 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCCI3686 | CA | MD | Professional Counselor |
| LMFT122364 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1639610025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9445 FARNHAM ST STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231308",
"telephone_number": "619-838-3287",
"fax_number": "858-569-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9445 FARNHAM ST STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231308",
"telephone_number": "619-838-3287",
"fax_number": "858-569-2418"
}
],
"practiceLocations": [
{
"address_1": "3340 Kemper St",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921104906",
"country_code": "US",
"telephone_number": "619-523-8121",
"fax_number": "619-523-8742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAIRD",
"first_name": "LAURA",
"credential": "LMFT. APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-17",
"last_updated": "2022-07-21",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT122364",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "PCCI3686",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373781",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.