Active NPI
Nancy L Baker, RNBC
- Mental Health Counselor
- Fitchburg, MA
National Provider Identifier
1861656811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 69752
- Practice address
- 255 Main St
Fitchburg, MA 01420-4331 - Phone
- (978) 343-6957
- NPI assigned
- Jul 17, 2008
- 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 | 69752 | MA | Primary |
Addresses
Primary practice location
255 Main St
Fitchburg, MA 01420-4331
Mailing address
76 Jaques Ave
Worcester, MA 01610
Phone (978) 343-6957
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18723 | Other | BLUE CROSS OF MASS | |
| 042626179 | Other | MA | TRICARE |
| 1303007 | Medicaid | MA | |
| 66992 | Other | MA | CIGNA |
| 997527 | Other | MA | NEIGHBORHOOD HEALTH |
| 1000830 | Other | MA | FALLON |
| 600673 | Other | MA | TUFTS |
| 4294 | Other | MA | MAGELLAN |
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 |
|---|---|---|---|
| 69752 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Link | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Leominster, MA
- NPI 1538302559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1861656811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 JAQUES AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01610",
"telephone_number": "978-343-6957",
"fax_number": "978-343-0449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 MAIN ST",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014204331",
"telephone_number": "978-343-6957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "NANCY",
"middle_name": "L",
"credential": "RNBC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "69752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MASS",
"identifier": "M18723",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "042626179",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303007",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "66992",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "997527",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1000830",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "600673",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "4294",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.