Individual provider Active NPI

Walter Gary Baker, M.ED,LMSW,LPC,CAC-1

  • Addiction (Substance Use Disorder) Counselor
  • Southfield, MI
National Provider Identifier
1982618906
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1-00432 Issued in MI
Practice address
24225 W 9 Mile Rd Ste 114
Southfield, MI 48034-3990
Phone
(248) 352-8841
Fax
(248) 352-8180
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1-00432 MI Primary
Professional Counselor 101YP2500X 6401007535 MI
Clinical Social Worker 1041C0700X 6801046217 MI

Addresses

Primary practice location

24225 W 9 Mile Rd Ste 114
Southfield, MI 48034-3990

Mailing address

24225 W 9 Mile Rd Ste 114
Southfield, MI 48034-3990

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1-00432MIMDAddiction (Substance Use Disorder) Counselor
6401007535MIMDProfessional Counselor
6801046217MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982618906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24225 W 9 MILE RD STE 114",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480343990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24225 W 9 MILE RD STE 114",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480343990",
            "telephone_number": "248-352-8841",
            "fax_number": "248-352-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "WALTER",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "M.ED,LMSW,LPC,CAC-1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "1-00432",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007535",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801046217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.