Jeanie Beth Bakker, M.A., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2638 Issued in OR

Practice address

461 NE Greenwood Ave
Suite a
Bend, OR 97701-4607

Phone

(541) 617-7365

Fax

(541) 312-6343

NPI assigned

Dec 14, 2006

Sex

Female

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

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Western Montana Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1912079328

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1770645863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 NE GREENWOOD AVE",
            "address_2": "SUITE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014607",
            "telephone_number": "541-617-7365",
            "fax_number": "541-312-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 NE GREENWOOD AVE",
            "address_2": "SUITE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014607",
            "telephone_number": "541-617-7365",
            "fax_number": "541-312-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKER",
        "first_name": "JEANIE",
        "middle_name": "BETH",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Rae Baker, MD
• Molly Baker, CCC-SLP
• Myra B Baker, PA-C
• Steven Edward Baker, LPC, CAC
• William Lynn Baker III
• Jennifer Leslie Bakker
• Balance Chiropractic P.C.
• Balance Therapeutic Bodywork LLC
• Darcy Christine Balcer, O.D.
• Tyler Ciprian Baldessari

• Professional Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.