LATRICE N BAXTER


Address: 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204
Phone: 3173953716

LATRICE N BAXTER (NPI# 1912434010) 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) 1912434010
Entity Type Individual
Full Name LATRICE N BAXTER
Other Name LATRICE N CASIANO
Credential LMHC
Practice Address 201 N. Illinois Street
16th Floor, South Tower
Indianpolis
IN 46204
Mailing Address 8320 Madison Ave
Indianapolis
IN 46227-6066
Practice Telephone 3173953716
Mailing Telephone 3178825122
Mailing Fax Number 3178888642
Enumeration Date 2017-05-19
Last Update Date 2020-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
39003055A IN Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
8320 Madison Ave, Indianapolis, IN 462276066 (317) 882-5122 3178888642

Office Location

Street Address 201 N. ILLINOIS STREET
16TH FLOOR, SOUTH TOWER
City INDIANPOLIS
State IN
Zip Code 46204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1457853962 Tracie Lynn King Physical Therapy Assistant 500 N Capitol Ave Unit A, Indianapolis, IN 46204 2018-03-01
1013436831 Kayla Michelle Jackson Social Worker 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 2017-09-13
1750820643 Jcpl, LLC Optometrist 751 Massachusetts Ave, Indianapolis, IN 46204 2017-02-13
1922546969 Makenzie Brinker Specialist/Technologist 800 N. Capital Ave, 420, Indianapolis, IN 46204 2017-02-10
1598118572 Jennifer Clark Internal Medicine 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 2016-07-14
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1326646647 Elizabeth Labriola Counselor 1406 E Joliet St, Crown Point, IN 46307-4724 2020-10-09
1518564335 Samantha Carter Counselor 5532 Wegg Ave, East Chicago, IN 46312-3941 2020-10-05
1215534037 Jonathan Royce Vandervlugt Counselor 9614 Granada Ct Apt 111, Crown Point, IN 46307-2161 2020-10-05
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1629685011 Miosha Williams Counselor 7434 Whitcomb St Apt C, Merrillville, IN 46410-4491 2020-09-29
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Competitor

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City INDIANPOLIS
Zip Code 46204

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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