Jessica Baker, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

207 N Liberty St Ste B
Centreville, MD 21617-1189

Phone

(410) 758-8750

NPI assigned

Aug 15, 2023

Last updated

Aug 15, 2023By the provider in NPPES

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

Opted out of Medicare

Previously, effective Oct 8, 2024 through Oct 8, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridges Behavioral Health & Wellness

  • Community/Behavioral Health Agency
  • Centreville, MD
  • NPI 1205193737
  NPD

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1871376673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 LAUREL LN",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291607",
            "telephone_number": "443-523-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N LIBERTY ST STE B",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171189",
            "telephone_number": "410-758-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JESSICA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annapolis Allergy & Asthma LLC
• Anne Arundel Counseling, Inc.
• Anne Arundel Counseling, Inc.
• Aretha Charlene Ayers, COTA
• Elizabeth Baer
• Frances Barry
• Bay Hematology Oncology, P.a.
• Bay Hematology Oncology, P.a.
• Bay Hematology Oncology, P.a.
• Bay Hematology Oncology, P.a.

• Mental Health Counselor in Centreville, MD
• Providers in Centreville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.