Individual provider Active NPI

Kimberly Susan Baker, MALPC

  • Professional Counselor
  • Dearborn Heights, MI
National Provider Identifier
1811916422
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008348 Issued in MI
Practice address
8542 N Inkster Rd
Apt 112
Dearborn Heights, MI 48127-1084
Phone
(734) 658-6591
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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 6401008348 MI Primary

Addresses

Primary practice location

8542 N Inkster Rd
Apt 112
Dearborn Heights, MI 48127-1084

Mailing address

8542 N Inkster Rd
Apt 112
Dearborn Heights, MI 48127-1084
Phone (734) 658-6591

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
6401008348MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1811916422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8542 N INKSTER RD",
            "address_2": "APT 112",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271084",
            "telephone_number": "734-658-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8542 N INKSTER RD",
            "address_2": "APT 112",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271084",
            "telephone_number": "734-658-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KIMBERLY",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MALPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.