Mary Roxanne Baker, MS, LMHCA, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

309005026A Issued in IN

Practice address

926 E Jackson Blvd
Elkhart, IN 46516-4351

Phone

(574) 575-6557

Fax

(574) 522-0481

NPI assigned

Feb 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mary Roxanne Hackett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Psychological & Family Consultants

  • Counseling Psychologist
  • Elkhart, IN
  • NPI 1013055086
  NPD (past)
• Psychological & Family Consultants, Inc

  • Counseling Psychologist
  • Elkhart, IN
  • NPI 1962541227
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1811520745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164351",
            "telephone_number": "574-522-6292",
            "fax_number": "574-522-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164351",
            "telephone_number": "574-575-6557",
            "fax_number": "574-522-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARY",
        "middle_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "99097331A",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "88001264A",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "309005026A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HACKETT",
            "middle_name": "ROXANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle R Bache, MD
• Sarah Bachman, RBT
• Brenda Gayle Bachmann, P.A.
• Song I Baek
• Monica Bahena
• Angela Marie Ball, FNP
• Briana Ball, BCBA
• Lindsey Rae Silver Balliet, MSW
• Macey Banke
• Vanessa Barajas

• Counselor in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.