Individual provider Active NPI

Rebecca Baumer, LCSW

  • Mental Health Counselor
  • Red Bluff, CA
National Provider Identifier
1699200329
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW167772 Issued in CA
Practice address
22425 Sunbright Ave
Red Bluff, CA 96080-9741
Phone
(530) 528-2342
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW167772 CA Primary
Clinical Social Worker 1041C0700X LCS16772 CA

Addresses

Primary practice location

22425 Sunbright Ave
Red Bluff, CA 96080-9741

Mailing address

22425 Sunbright Ave
Red Bluff, CA 96080-9741
Phone (530) 528-2342

Other practice location 1

2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Phone (707) 812-3530

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW167772CAMDMental Health Counselor
LCS16772CAMDClinical Social Worker
16772CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1699200329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22425 SUNBRIGHT AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960809741",
            "telephone_number": "530-528-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22425 SUNBRIGHT AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960809741",
            "telephone_number": "530-528-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Napa Vallejo Hwy",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945586234",
            "country_code": "US",
            "telephone_number": "707-812-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMER",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW167772",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

Verify at the official NPI Registry.