Active NPI
Jonathan R Baxter, MA, MS, LMHC
- Mental Health Counselor
- Lexington, MA
National Provider Identifier
1760618417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7969
- Practice address
- 1620 Massachusetts Ave Ste 10
Lexington, MA 02420-3826 - Phone
- (617) 306-0264
- Fax
- (781) 860-7200
- NPI assigned
- Jun 9, 2009
- Sex
- Male
- 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 | 7969 | MA | Primary |
Addresses
Primary practice location
1620 Massachusetts Ave Ste 10
Lexington, MA 02420-3826
Mailing address
1620 Massachusetts Ave Ste 10
Lexington, MA 02420-3826
Phone (617) 306-0264
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
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7969 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1760618417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 MASSACHUSETTS AVE STE 10",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203826",
"telephone_number": "617-306-0264",
"fax_number": "781-860-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 MASSACHUSETTS AVE STE 10",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203826",
"telephone_number": "617-306-0264",
"fax_number": "781-860-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "JONATHAN",
"middle_name": "R",
"credential": "MA, MS, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-09",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "7969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.