MISS MAKENZIE BAKER X


Address: 407 N Basin Rd, Fairfield, IL 62837-9639
Phone: 6188422125

MISS MAKENZIE BAKER X (NPI# 1780053348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780053348
Entity Type Individual
Full Name MISS MAKENZIE BAKER X
Credential BS
Practice Address 407 N Basin Rd
Fairfield
IL 62837-9639
Mailing Address 504 Micah Dr
Drawer M
Olney
IL 62450-4720
Practice Telephone 6188422125
Practice Fax Number 6188424154
Mailing Telephone 6183954306
Mailing Fax Number 6183954507
Enumeration Date 2015-09-24
Last Update Date 2015-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Other Providers MAKENZIE BAKER

NPI Name Taxonomy Address Enumeration
1184911570 Makenzie Baker Chiropractor 407 E Beale St, Kingman, AZ 86401-5833 2011-07-06

Office Location

Street Address 407 N BASIN RD
City FAIRFIELD
State IL
Zip Code 62837-9639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952589830 South Eastern Illinois Counseling Center Inc Clinic/Center 407 N Basin Rd, Fairfield, IL 62837-9639 2008-02-04
1750909628 Brian Frank Vahl Counselor 407 N Basin Rd, Fairfield, IL 62837-9639 2020-07-08
1376003202 Rosella Leeann Book Counselor 407 N Basin Rd, Fairfield, IL 62837-9639 2019-03-25
1699242131 Egyptian Health Department Community/Behavioral Health 407 N Basin Rd, Fairfield, IL 62837-9639 2018-11-01
1689141145 Egyptian Health Department Community/Behavioral Health 407 N Basin Rd, Fairfield, IL 62837-9639 2018-11-01
1306349329 Renae Robertson Counselor 407 N Basin Rd, Fairfield, IL 62837-9639 2018-03-15
1235598855 Shari Winter Counselor 407 N Basin Rd, Fairfield, IL 62837-9639 2016-02-11
1881006369 Allissa Keoughan Counselor 407 N Basin Rd, Fairfield, IL 62837-9639 2014-06-02
1033496260 Jeneva Carron Counselor 407 N Basin Rd, Fairfield, IL 62837-9639 2011-11-16
1013186568 S E Illinois Counseling Ctrs Community/Behavioral Health 407 N Basin Rd, Fairfield, IL 62837-9639 2008-02-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881294619 Katelyn Atteberry Pharmacist 150 Commerce Drive, Fairfield, IL 62837 2020-10-30
1265894521 Rebecca August Social Worker 506 Nw 9th St, Fairfield, IL 62837 2016-03-25
1063814259 Kathie L Hill Social Worker 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 2014-09-19
1912206731 Way-fair Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 305 Northwest 11th Street, Fairfield, IL 62837 2011-03-18
1063600773 Alvin Ewing Counselor 407 N. Basin Road, Fairfield, IL 62837 2007-10-09
1417145129 Gilbert Tennyson Counselor 407 North Basin Rd, Fairfield, IL 62837 2007-10-09
1972791689 Clint Harvey Counselor 407 North Basin Road, Fairfield, IL 62837 2007-10-09
1770789778 Fairfield Estates, LLC Point of Service 315 North Market Street, Fairfield, IL 62837 2007-06-26
1346382207 Robert E Lowry Counselor 407 N Basin Rd., Fairfield, IL 62837 2007-02-13
1790840825 Bradley D Kramer Dentist 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 2006-12-27
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700411386 Darren Hailey Counselor 72 Villa Cir, Fairfield, CA 94533-2523 2020-03-04
1013567270 Asia Robinson Counselor 1165 Dove Way, Fairfield, CA 94533-2542 2019-09-18
1689220477 Carl Leonard Fessenden Counselor 1974 Winchester Pl, Fairfield, CA 94533-3618 2019-08-16
1598262677 Jason Michael Levline Counselor 5266 Charlene Ave, Fairfield, OH 45014-1535 2018-04-06
1497285084 Beth A. Bronfman Counselor 87 Fairfield Rd, Fairfield, NJ 07004-2546 2017-06-15
1588191290 Kirk D. Condon Counselor 201 South 23rd, Fairfield, IA 52556 2017-05-12
1205373537 Samuel E Ghee IIi Counselor Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 2017-01-25
1730639329 Jonathon Grogan Counselor 2480 Hilborn Rd, Fairfield, CA 94534-1856 2016-10-07
1295119196 Sara Faye Jones Counselor 745 Ohio St Apt 2, Fairfield, CA 94533-6222 2015-07-10
1205242583 Amy Lynn Davis Counselor 620 Julmar Cir, Fairfield, CA 94534-4214 2014-07-07
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Competitor

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City FAIRFIELD
Zip Code 62837

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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