Individual provider Active NPI

Justine Baker

  • Counselor
  • Elk Grove, CA
National Provider Identifier
1811628944
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
147687 Issued in CA
Practice address
9324 W Stockton Blvd
Elk Grove, CA 95758-8012
Phone
(916) 525-6100
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 147687 CA Primary
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X
Mental Health Counselor 101YM0800X
Community Health Worker 172V00000X

Addresses

Primary practice location

9324 W Stockton Blvd
Elk Grove, CA 95758-8012

Mailing address

PO Box 79
Elk Grove, CA 95759-0079
Phone (650) 271-9022

Other practice location 1

3555 Auburn Blvd
Sacramento, CA 95821-2071
Phone (916) 482-2370

Other practice location 2

1801 Vicente St
San Francisco, CA 94116-2923
Phone (415) 681-3211

Other practice location 3

50 Iron Point Cir Ste 140
Folsom, CA 95630-8594
Phone (702) 608-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
147687CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1811628944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957590079",
            "telephone_number": "650-271-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9324 W STOCKTON BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588012",
            "telephone_number": "916-525-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Auburn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958212071",
            "country_code": "US",
            "telephone_number": "916-482-2370",
            "fax_number": "916-480-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Vicente St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941162923",
            "country_code": "US",
            "telephone_number": "415-681-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Iron Point Cir Ste 140",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956308594",
            "country_code": "US",
            "telephone_number": "702-608-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JUSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "147687",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; 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.