Aida Baker, LMFT

Individual provider Active NPI Marriage & Family Therapist · Grass Valley, CA

NPI 1801289756 · NPPES record last updated Mar 16, 2015

Key facts

NPI
1801289756
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
51176 (CA)
Practice address
518 S Auburn St
Grass Valley, CA 95945-7222
Phone
(530) 263-6882
NPI assigned
Mar 16, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 14, 2025 through Mar 14, 2027

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
51176CAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 51176 CA Yes

Addresses

Primary practice location

518 S Auburn St
Grass Valley, CA 95945-7222

Mailing address

518 S Auburn St
Grass Valley, CA 95945-7222
Phone (530) 263-6882

Other providers in Grass Valley, CA

All providers in Grass Valley, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.