Active NPI
Averi M Baker, LPC
- Professional Counselor
- Princeton Junction, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00934500
- Practice address
- 231 Clarksville Rd Ste 4a
Princeton Junction, NJ 08550-5300 - Phone
- (862) 588-6624
- Fax
- (847) 859-5885
- NPI assigned
- Dec 3, 2019
- Last updated
- May 1, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00499100 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00934500 | NJ | Primary |
Addresses
Primary practice location
231 Clarksville Rd Ste 4a
Princeton Junction, NJ 08550-5300
Mailing address
59 Rock Rd FL 1
Hawthorne, NJ 07506-1568
Phone (862) 588-6624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00499100 | NJ | MD | Mental Health Counselor |
| 37PC00934500 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health - Behavioral Health | Current | Accepting new patients | |
| PHC of Buffalo Grove Clinical Psychology | Current | Accepting new patients | |
| New Jersey Behavioral Health P.C | Current | Accepting new patients | |
| Rutgers Health - Behavioral Health | Current | Accepting new patients |
Locations
175 E Hawthorne Pkwy
Ste 235
Vernon Hills, IL 60061
Phone (847) 865-4125
65 Harristown Rd
Ste 310
Glen Rock, NJ 07452
183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004
671 Hoes Ln W
Rm C205
Piscataway, NJ 08854
Phone (732) 235-4040
671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289
231 Clarksville Rd
Ste 4A
Princeton Junction, NJ 08550
Phone (329) 822-8887
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Cherry Hill, NJ
- NPI 1891956298
-
- Psychologist
- Princeton Junction, NJ
- NPI 1538744297
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1144267337
-
dba Portrait Health Centers
- Psychologist
- Vernon Hills, IL
- NPI 1235430612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1932746476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 ROCK RD FL 1",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075061568",
"telephone_number": "862-588-6624",
"fax_number": "847-859-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 CLARKSVILLE RD STE 4A",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "085505300",
"telephone_number": "862-588-6624",
"fax_number": "847-859-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "AVERI",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-03",
"last_updated": "2023-05-01",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00499100",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00934500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton Junction, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.