Active NPI
Lora D Baker, ALC
- Mental Health Counselor
- Cullman, AL
National Provider Identifier
1861100935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ALC04289
- Practice address
- 198 US Highway 278 E
Cullman, AL 35055-0690 - Phone
- (888) 355-7080
- Fax
- (256) 615-8632
- NPI assigned
- Nov 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ALC04289 | AL | Primary |
Addresses
Primary practice location
198 US Highway 278 E
Cullman, AL 35055-0690
Mailing address
198 US Highway 278 E
Cullman, AL 35055-0690
Phone (888) 355-7080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235540 | Medicaid | AL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ALC04289 | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellow Brick Road Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
198 US Highway 278 E
Cullman, AL 35055
Phone (888) 355-7080
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1861100935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 US HIGHWAY 278 E",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350550690",
"telephone_number": "888-355-7080",
"fax_number": "256-615-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 US HIGHWAY 278 E",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350550690",
"telephone_number": "888-355-7080",
"fax_number": "256-615-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "LORA",
"middle_name": "D",
"credential": "ALC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "ALC04289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235540",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.