Active NPI
Paul D. Baker, M.ED
- Mental Health Counselor
- Clarkston, WA
National Provider Identifier
1689852378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00060232
- Practice address
- 629 6TH St
Clarkston, WA 99403-2010 - Phone
- (509) 758-9698
- NPI assigned
- Feb 5, 2008
- Last updated
- Feb 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | RC00060232 | WA | Primary |
Addresses
Primary practice location
629 6TH St
Clarkston, WA 99403-2010
Mailing address
629 6TH St
Clarkston, WA 99403-2010
Phone (509) 758-9698
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00060232 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitzgerald Psychological Services, P.S. | Past | Accepting new patients | |
| Educational and Psychological Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Clarkston, WA
- NPI 1891064606
-
- Psychologist
- Clarkston, WA
- NPI 1710322755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1689852378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032010",
"telephone_number": "509-758-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032010",
"telephone_number": "509-758-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "PAUL",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00060232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.