Kellymarie Shepherd Bauer, MSW, ACSW, RAC I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

128763 Issued in CA

Practice address

2750 G St Ste E1
Merced, CA 95340-2953

Phone

(209) 259-3851

NPI assigned

Mar 18, 2026

Sex

Female

Sole proprietor

Yes

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

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.

• Philos Therapeutic a Licensed Clinical Social Worker Corporation

  • Mental Health Counselor
  • Merced, CA
  • NPI 1255076428
  NPD (past)

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1861340580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "DENAIR",
            "state": "CA",
            "postal_code": "953160041",
            "telephone_number": "209-777-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 G ST STE E1",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402953",
            "telephone_number": "209-259-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "KELLYMARIE",
        "middle_name": "SHEPHERD",
        "credential": "MSW, ACSW, RAC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "128763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charman Celeste Batiste, LMFT
• Jaskaran Batther
• Vaneisha Nicole Batts
• Frank Joseph Baudino, MD
• Kathy M. Bauer, PHARMD
• Travis Aaron Bauer, PHARMD
• Marina Bautista-Herrera
• Jessica Bautista-Vasquez
• Jessica Maria Bautista, M.A
• Misty Rose Bautista

• Mental Health Counselor in Merced, CA
• Providers in Merced, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.