Individual provider Active NPI

Carrie Lee Socha Baird, MASTERS DEGREE MARRI

  • Marriage & Family Therapist
  • Coos Bay, OR
National Provider Identifier
1891947008
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T3416 Issued in OR
Practice address
375 Park Ave
Coos Bay, OR 97420-2244
Phone
(541) 995-7220
NPI assigned
Oct 21, 2008
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T3416 OR Primary
Marriage & Family Therapist 106H00000X 92344 CA
Rehabilitation Practitioner 225400000X NU

Addresses

Primary practice location

375 Park Ave
Coos Bay, OR 97420-2244

Mailing address

2180 Southwest Blvd
Coos Bay, OR 97420-9218
Phone (208) 479-6041

Other practice location 1

271 N Baxter St
Coquille, OR 97423-1826
Phone (541) 995-7220

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

LicenseStateTypeSpecialty
92344CAMDMarriage & Family Therapist
T3416ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1891947008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 SOUTHWEST BLVD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974209218",
            "telephone_number": "208-479-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 PARK AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202244",
            "telephone_number": "541-995-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 N Baxter St",
            "address_purpose": "LOCATION",
            "city": "Coquille",
            "state": "OR",
            "postal_code": "974231826",
            "country_code": "US",
            "telephone_number": "541-995-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "CARRIE",
        "middle_name": "LEE SOCHA",
        "name_prefix": "Ms.",
        "credential": "MASTERS DEGREE MARRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T3416",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92344",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.