Jacqueline Baumeister, M.ED., ED. S
Individual provider Active NPI School Psychologist · La Porte, IN
NPI 1770048811 · NPPES record last updated Apr 12, 2025
Key facts
- NPI
- 1770048811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 10187414 (IN)
- Practice address
- 607 Philadelphia St
La Porte, IN 46350-3932 - Phone
- (219) 713-2287
- Fax
- (219) 713-2287
- NPI assigned
- Feb 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10187414 | IN | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 10187414 | IN | Yes |
Addresses
Primary practice location
607 Philadelphia St
La Porte, IN 46350-3932
Mailing address
607 Philadelphia St
La Porte, IN 46350-3932
Phone (219) 713-2287
Other names
- Jacqueline Ansburg
Other providers in La Porte, IN
- Tracy Banghart
- Randy Paul Banic
- Barber Mental Health Associates LLC
- Philip Barber
- Gabrielle Lynn Batchelor
- Michael J Beach
- Beacon Health Ventures Inc
- Beacon Medical Group, Inc.
- Danielle Bealor
- Ahmad Reza Behrouzi
All providers in La Porte, IN · School Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.