Micah Baker, LPE

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

13-30EI Issued in AR

Practice address

1601 S Rainbow Rd
Rogers, AR 72758

Phone

(479) 254-1144

Fax

(479) 254-1144

NPI assigned

Aug 8, 2017

Last updated

Nov 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Fresh Roots, Inc.

  dba Fresh Roots Family Counseling

  • Marriage & Family Therapist
  • Rogers, AR
  • NPI 1053479634
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1760907091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S RAINBOW RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588821",
            "telephone_number": "479-254-1144",
            "fax_number": "479-254-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S RAINBOW RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72758",
            "telephone_number": "479-254-1144",
            "fax_number": "479-254-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 W Poplar St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727564559",
            "country_code": "US",
            "telephone_number": "479-986-8655",
            "fax_number": "479-633-9398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MICAH",
        "name_prefix": "Mr.",
        "credential": "LPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AR",
            "license": "13-30EI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayfa Riaz Bajwa, MD
• Mikayla Bakalemwa, MS, CCC-SLP
• Alyssa Shantel Baker
• David Scott Baker, DDS
• James Baker, DO
• Savannah Baker, LMSW
• Hannah Baldridge
• Mackenzie Baldwin
• Zachary Heath Ball, PT
• Alexandrea Ballance, RBT

• School Psychologist in Rogers, AR
• Providers in Rogers, AR by specialty
• School Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.