Individual provider Active NPI

Katherine Rheaume Baxter, LMSW, CAADC, CCDP-D

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1992732176
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801067089 Issued in MI
Practice address
420 W 5TH Ave
Flint, MI 48503-2445
Phone
(810) 496-4910
Fax
(810) 496-4922
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801067089 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-00472 MI

Addresses

Primary practice location

420 W 5TH Ave
Flint, MI 48503-2445

Mailing address

5054 Piersonville Rd
Columbiaville, MI 48421-9343
Phone (810) 793-6794

Other identifiers 2

IdentifierTypeStateIssuer
0998084OtherHEALTH PLUS
11558877OtherAETNA

Other names 1

  • Miss Katherine Anne Rheaume Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-00472MIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Health System CurrentSince Feb 14, 2018 Accepting new patients
Genesee Health System Clinical CurrentSince Feb 14, 2018 Accepting new patients
Christian Family Services of Lapeer County Past Accepting new patients
Saginaw Valley Centers, Inc Past Accepting new patients

Locations

1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724

420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724

725 Mason St
Flint, MI 48503
Phone (810) 257-3736

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1992732176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 PIERSONVILLE RD",
            "city": "COLUMBIAVILLE",
            "state": "MI",
            "postal_code": "484219343",
            "telephone_number": "810-793-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 5TH AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032445",
            "telephone_number": "810-496-4910",
            "fax_number": "810-496-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "KATHERINE",
        "middle_name": "RHEAUME",
        "name_prefix": "Mrs.",
        "credential": "LMSW, CAADC, CCDP-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067089",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-00472",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0998084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "11558877",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "RHEAUME",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.