Individual provider Active NPI

Ronald R Baptist, MA, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1811049125
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LP0001726 Issued in CO
Practice address
1925 Dominion Way Ste 103
Colorado Springs, CO 80918-1484
Phone
(719) 477-0203
Fax
(719) 426-2258
NPI assigned
Jan 17, 2007
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1726 CO
Professional Counselor 101YP2500X LP0001726 CO Primary

Addresses

Primary practice location

1925 Dominion Way Ste 103
Colorado Springs, CO 80918-1484

Mailing address

1925 Dominion Way Ste 103
Colorado Springs, CO 80918-1484
Phone (719) 477-0203

Other identifiers 2

IdentifierTypeStateIssuer
1811049145MedicaidCO
9000148990MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20240116001993 CO Practitioner - Mental Health Counselor 9234581273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1925 Dominion Way
Colorado Springs, CO 80918-1484
Phone (719) 477-0203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1726COMDMental Health Counselor
LP0001726COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates for Wellness, LLC Professional CurrentSince Dec 5, 2023 Accepting new patients
Psychotherapy Consultants, Inc. Mental Health CurrentSince Oct 10, 2021 Accepting new patients

Locations

1925 Dominion Way
Ste 103
Colorado Springs, CO 80918
Phone (719) 477-0203

2140 Academy Cir
Ste C
Colorado Springs, CO 80909
Phone (719) 332-7794

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1811049125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 DOMINION WAY STE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181484",
            "telephone_number": "719-477-0203",
            "fax_number": "719-426-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 DOMINION WAY STE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181484",
            "telephone_number": "719-477-0203",
            "fax_number": "719-426-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTIST",
        "first_name": "RONALD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1726",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LP0001726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811049145",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000148990",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.