Kelly Marie Baker
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pittsfield, IL
NPI 1841494085 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1841494085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 121 S Madison
Pittsfield, IL 62363 - Phone
- (217) 285-4436
- Fax
- (217) 285-2804
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Centers of Western Illinois | Past | Accepting new patients | |
| NPI 1457643645 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
121 S Madison
Pittsfield, IL 62363
Mailing address
1301 N 2353Rd LN
Mendon, IL 62351
Phone (217) 440-6200
Other providers in Pittsfield, IL
- Ansar H Ansari
- Shehnaz Ansari
- Ashley Baalman
- Sebastian Baginski
- Alysa Nicole Bainter
- Cory Barnes
- Nanette Montgomery Bess
- Best Buy Pharmacy of Pittsfield
- Blessing Care Corp.
- Blessing Dialysis Center of Pittsfield
All providers in Pittsfield, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.