| John Baker, LPC | |
|
214 Oakleigh Dr, Booneville, MS 38829-8241 | |
| (662) 523-0579 | |
| Not Available |
| Full Name | John Baker |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 28 Years |
| Location | 214 Oakleigh Dr, Booneville, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538337993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1330 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dutch Medical Clinics, Inc | 9234376088 | 28 |
| Entity Name | Dutch Medical Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215276175 PECOS PAC ID: 9234376088 Enrollment ID: O20130515000064 |
| Mailing Address | Practice Location Address |
|---|---|
| John Baker, LPC 214 Oakleigh Dr, Booneville, MS 38829-8241 Ph: (662) 523-0579 | John Baker, LPC 214 Oakleigh Dr, Booneville, MS 38829-8241 Ph: (662) 523-0579 |
Pam Castle, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 East Chambers Street, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-286-8095 |
Alyson Woodruff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 |
Kathryn Gann Murff, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 E Chambers Dr, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-728-3175 |
Vanity Kay Langston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 |
Jamiah Elizabeth Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 |
Christy Brantley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488 |
Ms. Kim Latice Harvey-cooper, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W George E Allen Dr # B, Booneville, MS 38829 Phone: 662-728-5445 |