Active NPI
Jacqueline Baer, LMHC
- Mental Health Counselor
- Dix Hills, NY
National Provider Identifier
1750977948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009241
- Practice address
- 7 Campbell Dr
Dix Hills, NY 11746-7911 - Phone
- (631) 860-1213
- NPI assigned
- Dec 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 009241 | NY | Primary |
Addresses
Primary practice location
7 Campbell Dr
Dix Hills, NY 11746-7911
Mailing address
7 Campbell Dr
Dix Hills, NY 11746-7911
Phone (631) 860-1213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
125 Michael Dr
105 24
Syosset, NY 11791-5311
Phone (631) 292-0048
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacqueline Baer Mental Health Counseling Services PLLC | Mental Health | Current | Accepting new patients |
Locations
125 Michael Dr
Ste 105
Syosset, NY 11791
Phone (516) 350-3975
125 Michael Dr
#10524
Syosset, NY 11791
Phone (631) 292-0048
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Syosset, NY
- NPI 1396338521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607731200000",
"number": "1750977948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CAMPBELL DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117467911",
"telephone_number": "631-860-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CAMPBELL DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117467911",
"telephone_number": "631-860-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAER",
"first_name": "JACQUELINE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-12",
"last_updated": "2020-12-12",
"certification_date": "2020-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "009241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.