Terry Randall Baker, LMFT
Individual provider Active NPI Marriage & Family Therapist · Bowling Green, KY
NPI 1871861997 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1871861997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 11-32 (KY)
- Practice address
- 901 Lehman Ave Ste 7
Bowling Green, KY 42101-4903 - Phone
- (270) 904-6307
- Fax
- (270) 904-6314
- NPI assigned
- Dec 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240520002255 | KY | Practitioner - Marriage and Family Therapist | 8224470430 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-32 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Counseling Center, LLC | Current |
Accepting new patients | |
| Specialized Alternatives for Families and Youth of Kentucky-Bowling GR | Past |
Accepting new patients | |
| Specialized Alternative for Families and Youth of Kentucky, Inc. | Past |
Accepting new patients |
Locations
1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 11-32 | KY | Yes |
Addresses
Primary practice location
901 Lehman Ave Ste 7
Bowling Green, KY 42101-4903
Mailing address
10100 Elida Rd
Delphos, OH 45833-9056
Phone (419) 695-8010
Other providers in Bowling Green, KY
- Abigail Baker
- Brent T Baker
- Kaitlyn M. Baker
- Kathy Davis Baker
- Mary Jo D. Baker
- Balance Therapeutic Care, Counseling Services LLC
- John W Balchunas
- Jonathon Baldwin
- Kenneth Grant Bale
- Margaret Louise Ballard
All providers in Bowling Green, KY · Marriage & Family Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.