Quentin Ryan Baack, M.S., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65296 Issued in TX

Practice address

3708 W Waco Dr Ste 5
Waco, TX 76710-5353

Phone

(254) 235-6542

NPI assigned

Jun 18, 2011

Sex

Male

Sole proprietor

No

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

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.

• Jasmine E. Khan

  • Professional Counselor
  • Waco, TX
  • NPI 1184921660
  NPD (past)

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

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308355200000",
    "number": "1851686737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8451",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767148451",
            "telephone_number": "254-235-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 W WACO DR STE 5",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105353",
            "telephone_number": "254-235-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAACK",
        "first_name": "QUENTIN",
        "middle_name": "RYAN",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-18",
        "last_updated": "2011-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Austin
• Ava Self Management
• Haley Hammond Avant, PA-C
• Sally Awwad, PHARMD
• Olanrewaju Samuel Ayileka, PHARMD
• Megan Bache
• Claudia G. Bachofen, M.D.
• Rachel Backstrom, DO
• Shamji P Badhiwala, MD
• Chloe Baer Appleby

• Professional Counselor in Waco, TX
• Providers in Waco, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2011; 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.