Active NPI
Samie Baker, EDUC SPECIALIST LCPC
- Mental Health Counselor
- Barley, ID
National Provider Identifier
1710140918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC3641
- Practice address
- 2222 Overland Ave
Barley, ID 83318 - Phone
- (208) 878-3423
- NPI assigned
- Jul 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC3641 | ID | Primary |
Addresses
Primary practice location
2222 Overland Ave
Barley, ID 83318
Mailing address
PO Box 73
Hagerman, ID 83332
Phone (208) 837-4600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC3641 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1710140918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73",
"city": "HAGERMAN",
"state": "ID",
"postal_code": "83332",
"telephone_number": "208-837-4600",
"fax_number": "208-837-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 OVERLAND AVE",
"city": "BARLEY",
"state": "ID",
"postal_code": "83318",
"telephone_number": "208-878-3423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "SAMIE",
"name_prefix": "Ms.",
"credential": "EDUC SPECIALIST LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCPC3641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.