KELLY MARIE BAKER


Address: 121 S Madison, Pittsfield, IL 62363
Phone: 2172854436

KELLY MARIE BAKER (NPI# 1841494085) 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) 1841494085
Entity Type Individual
Full Name KELLY MARIE BAKER
Practice Address 121 S Madison
Pittsfield
IL 62363
Mailing Address 1301 N 2353rd Ln
Mendon
IL 62351
Practice Telephone 2172854436
Practice Fax Number 2172852804
Mailing Telephone 2174406200
Enumeration Date 2007-06-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Providers KELLY BAKER

NPI Name Taxonomy Address Enumeration
1346767506 Kelly Baker Social Worker 520 Superior St., Port Huron, MI 48060 2017-08-28
1740729508 Kelly Marie Baker Registered Nurse 220 Sandy Brook Rd, North Scituate, RI 02857-2840 2017-02-13
1922496538 Kelly Michelle Baker Social Worker 2319 Good Hope Ct Se Apt 203, Washington, DC 20020-3683 2015-01-05
1104258706 Kelly Baker Doula 410 Wells Ln, Versailles, KY 40383-1545 2013-08-06
1316287352 Kelly Lind Baker Doula 9622 Stockport Cir, Summerville, SC 29485-9006 2013-02-28
1346585163 Kelly Elizabeth Baker Acupuncturist 11300 Roosevelt Way Ne Ste 100, Seattle, WA 98125-6243 2012-12-05
1871841254 Kelly Gossard Baker Counselor 6838 E Genesee St Ste E, Fayetteville, NY 13066-1029 2012-08-16
1124253596 Kelly Ann Baker Physical Therapist 5100 Bradenton Ave Ste D, Dublin, OH 43017 2009-05-28
1073775185 Kelly Baker Skilled Nursing Facility 853 Lexington Rd, Harrodsburg, KY 40330-1260 2008-06-30
1619013398 Kelly W Baker Chiropractor 852 Manzanita Ct Ste 150, Chico, CA 95926-2399 2007-01-29

Office Location

Street Address 121 S MADISON
City PITTSFIELD
State IL
Zip Code 62363

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871831388 Advance Physical Therapy Illini Community Hospital LLC Physical Therapist 128 W Washington Street, Pittsfield, IL 62363 2013-01-18
1003168154 Rebecca L. Williams Social Worker 120 North Williams Industrial Drive, Pittsfield, IL 62363 2012-10-12
1851641534 Debra Ann Helton Speech-Language Pathologist 640 West Washington, Pittsfield, IL 62363 2012-09-11
1366791451 Blessing Care Corp. Hospitalist 640 West Washington Street, Pittsfield, IL 62363 2012-09-05
1235421900 Mental Health Centers of Western Illinios Community/Behavioral Health 120 N. Williams Industrial Drive, Pittfield, IL 62363 2011-05-12
1003088188 Brandi N. Ruzich Physical Therapist 320 N. Madison, Pittsfield, IL 62363 2008-03-28
1780885830 Quincy Medical Group Pleasant Hill Rural Health Durable Medical Equipment & Medical Supplies 405 East State, Pleasant Hill, IL 62363 2007-05-29
1962622795 Kelli R Hull Licensed Practical Nurse 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 2007-04-26
1407939085 Wal-mart Stores, Inc Technician/Technologist Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 2006-10-24
1295761724 Melissa Lenderman Physician Assistant 320 N Madison St, Pittsfield, IL 62363 2006-06-25
Find all providers in zip 62363

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
1417578600 Laura Lynn Szczepaniak Counselor 2 South St Fl 3, Pittsfield, MA 01201-6196 2020-04-29
1255974663 Alc Corp Counselor 57 Maplewood Ave, Pittsfield, MA 01201-4753 2019-10-18
1740789767 Dennis R Bates Counselor 1115 North St, Pittsfield, MA 01201-1521 2018-02-05
1679772016 Deborah Shaver-bates Counselor 202 Bradford St, Keenan House, Pittsfield, MA 01201-4565 2007-07-16
1720606387 Autumn Marie Wood Counselor 777 North St, Pittsfield, MA 01201-4147 2020-07-10
1962958371 Whitney Baeckmann Counselor 42 Summer St, Pittsfield, MA 01201-4624 2016-08-27
1487042990 Karen Fisher Counselor 42 Summer St, Pittsfield, MA 01201-4624 2015-01-06
1205170495 Lawrence Lerner Counselor 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 2012-11-12
1326391335 Lisa Michelle Pyenson Counselor 42 Summer St, Pittsfield, MA 01201-4624 2012-10-16
1871845339 Odessa Bates Counselor 42 Summer St, Suite 201, Pittsfield, MA 01201-4624 2012-10-09
Find all providers in PITTSFIELD

Competitor

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City PITTSFIELD
Zip Code 62363

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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