Individual provider Active NPI

Lisa K Baldwin, LPC

  • Professional Counselor
  • Enterprise, AL
National Provider Identifier
1699007765
Registry record updated Aug 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04998 Issued in AL
Practice address
1405 Rucker Blvd
Enterprise, AL 36330-2236
Phone
(334) 417-0212
Fax
(334) 417-0213
NPI assigned
Feb 1, 2010
Last updated
Aug 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X 04998 AL
Professional Counselor 101YP2500X 04998 AL Primary

Addresses

Primary practice location

1405 Rucker Blvd
Enterprise, AL 36330-2236

Mailing address

1405 Rucker Blvd
Enterprise, AL 36330-2236
Phone (334) 417-0212

Other identifiers 1

IdentifierTypeStateIssuer
001428100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20250306002576 AL Practitioner - Mental Health Counselor 4688194848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Alabama AIDS Outreach IncGroup PAC ID 7517212376, 16 clinicians

Practice addresses (Care Compare)

2703 7TH St
Tuscaloosa, AL 35401-1865
Phone (205) 759-8470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04998ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama AIDS Outreach Inc Current Accepting new patients
West Alabama AIDS Outreach Inc CurrentSince Jan 3, 2025 Accepting new patients

Locations

2900 McGehee Rd
Montgomery, AL 36111
Phone (334) 280-3349

2703 7th St
Tuscaloosa, AL 35401
Phone (205) 723-2389

2715 7th St
Tuscaloosa, AL 35401

Interoperability endpoints

  • Direct secure messaging: lisa.baldwin.1@30992.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1699007765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 RUCKER BLVD",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302236",
            "telephone_number": "334-417-0212",
            "fax_number": "334-417-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 RUCKER BLVD",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302236",
            "telephone_number": "334-417-0212",
            "fax_number": "334-417-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "04998",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "04998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001428100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.