Jeffrey Keith Baker Sr., M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11791 Issued in FL

Practice address

2222 Colonial Rd Ste 100
Fort Pierce, FL 34950-5309

Phone

(772) 489-4726

NPI assigned

Dec 6, 2008

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1228521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1780829630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6994 SE BUNKER HILL DR",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334557318",
            "telephone_number": "561-401-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 COLONIAL RD STE 100",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505309",
            "telephone_number": "772-489-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JEFFREY",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-06",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurelio Ayuso, LCSW
• Brendalin A Bacon, M.S MENTAL HEALTH
• Noor Moneer Badin, MD
• Gilberto Baez Jr., RN
• Darla L Bagwell, ARNP
• Anastasia Baklashev, BS
• Andrea J Balconis, MD
• Fatima Shakoor Baloch, PA-C
• Victor A Balta, M.D.
• Ana Banks

• Mental Health Counselor in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.