Stacy Lachell Baker, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14363 Issued in NC

Practice address

3500 Westgate Dr Ste 303
Durham, NC 27707-2534

Phone

(919) 213-0225

Fax

(919) 869-1467

NPI assigned

Oct 23, 2018

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 6, 2024 through Jan 6, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Comprehensive Community Supportive Services PLLC

  • Community/Behavioral Health Agency
  • Burlington, NC
  • NPI 1578014429

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1811463342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 4008",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072539",
            "telephone_number": "919-213-0225",
            "fax_number": "919-869-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR STE 303",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072534",
            "telephone_number": "919-213-0225",
            "fax_number": "919-869-1467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3622 LYCKAN PKWY",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072539",
            "country_code": "US",
            "telephone_number": "919-213-0225",
            "fax_number": "919-869-1467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "STACY",
        "middle_name": "LACHELL",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Christine Baker, M.D.
• Katelyn Baker, PA-C
• Rafeal Lateef Baker Jr., MD
• Sandra Krol Baker, WHNP-BC
• Sharon Baker
• Taylor Douglas Baker, DO
• Yvonne Baker, M.D.
• Zachary Harlan Baker, PA-C
• Tanner Jeffrey Bakhshi, M.D., PH.D.
• Alexandra Marie Balaban

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.