Individual provider Active NPI

Gary Scott Baas, PC

  • Professional Counselor
  • Keller, TX
National Provider Identifier
1811274541
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72178 Issued in TX
Practice address
5757 Park Vista Circle
Suite 101
Keller, TX 76244
Phone
(817) 812-2880
NPI assigned
Nov 9, 2011
Last updated
Oct 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72178 TX Primary

Addresses

Primary practice location

5757 Park Vista Circle
Suite 101
Keller, TX 76244

Mailing address

5757 Park Vista Circle
Suite 101
Keller, TX 76244
Phone (817) 812-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240412000405 TX Practitioner - Mental Health Counselor 8921447806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logos Services LLCGroup PAC ID 3476804519, 9 clinicians

Practice addresses (Care Compare)

5751 Park Vista Cir
Suite 101
Fort Worth, TX 76244-5693
Phone (817) 812-2880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72178TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Logos Services LLC CurrentSince Mar 4, 2024 Accepting new patients

Locations

5751 Park Vista Cir
Ste 101
Fort Worth, TX 76244
Phone 8178122880100

Organizations & group practices 1

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": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1811274541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 PARK VISTA CIRCLE",
            "address_2": "SUITE 101",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-812-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 PARK VISTA CIRCLE",
            "address_2": "SUITE 101",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-812-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAAS",
        "first_name": "GARY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-09",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.