Jeffrey L Baker, PH.D, MAC,HS-BCP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

8014 Cumming Hwy
Suite 403-302
Canton, GA 30115-9339

Phone

(404) 806-0434

Fax

(770) 720-2335

NPI assigned

Jan 22, 2009

Last updated

Jun 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 10

Addresses

Other names 1

• Mr. Jeff L Baker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Dillard Academy

  • Local Education Agency (LEA)
  • Canton, GA
  • NPI 1124459912

  Mental Health

  NPD (past)
• Dillard Academy

  dba Dillard charter Academy

  • Local Education Agency (LEA)
  • Canton, GA
  • NPI 1356762207
  NPD (past)

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1699913020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 CUMMING HWY",
            "address_2": "SUITE 403-302",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159339",
            "telephone_number": "404-806-0434",
            "fax_number": "770-720-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 CUMMING HWY",
            "address_2": "SUITE 403-302",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159339",
            "telephone_number": "404-806-0434",
            "fax_number": "770-720-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PH.D, MAC,HS-BCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "FL",
            "license": "335G",
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": "FL",
            "license": "335G",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "160",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "BAKER",
            "middle_name": "L",
            "prefix": "MR.",
            "credential": "MAC, CCJAP,CAPP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Back to Life Medical Group, LLC (Spinal Medical Centers)
• Adam Davis Bagley, LMFT
• Robert Bagwell Jr., PHARMD
• Priscilla Di Bailey
• Cindy Baker, MA CCC-SLP
• Michael Aaron Baker II, PHARMD
• Drew Ellen Balchus, CNM
• William Balkcom
• William Greer Bankhead III, PT, DPT
• Bridgette Idette Banks, MAT, LAT, ATC

• Professional Counselor in Canton, GA
• Providers in Canton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.