Organization Active NPI

Jessica N Baker PLLC

  • Mental Health Counselor
  • Hannibal, MO
National Provider Identifier
1710875299
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JESSICA N BAKER PLLC
Practice address
118 Steamboat Bend Shopping Ctr
Hannibal, MO 63401-2867
Phone
(312) 600-5061
NPI assigned
Jun 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Wajahatuddin Macci
Title
Director
Phone
(312) 600-5061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

118 Steamboat Bend Shopping Ctr
Hannibal, MO 63401-2867

Mailing address

800 Enterprise Dr Ste 214
Oak Brook, IL 60523-4218
Phone (312) 600-5061

Other names 1

  • 247DCT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
247DCT3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1710875299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ENTERPRISE DR STE 214",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234218",
            "telephone_number": "312-600-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 STEAMBOAT BEND SHOPPING CTR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012867",
            "telephone_number": "312-600-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA N BAKER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "MACCI",
        "authorized_official_first_name": "WAJAHATUDDIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-600-5061"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "247DCT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "247DCT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.