Angeline Baucom, LPCC is a medicare enrolled "Counselor - Professional" provider in Julian, California. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
2717 A. St, Julian, California. You can reach out to her office (for appointments etc.) via phone at
(619) 662-4100.
Angeline Baucom is licensed to practice in California (license number 22473) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1497390066.
Healthcare Provider's Profile
| Full Name | Angeline Baucom |
|---|
| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 7 Years |
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| Location | 2717 A. St, Julian, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angeline Baucom graduated from medical school in 2019
NPI Data:
- NPI Number: 1497390066
- Provider Enumeration Date: 11/07/2019
- Last Update Date: 05/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 5294206553
- Enrollment ID: I20260608001716
Medical Identifiers
Medical identifiers for Angeline Baucom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497390066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 117454 (California) | Secondary |
| 101YP2500X | Counselor - Professional | 22473 (California) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12826 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angeline Baucom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Angeline Baucom, LPCC
993 Postal Way,
Vista, CA 92083-6945
Ph: (760) 630-9922 | Angeline Baucom, LPCC
2717 A. St,
Julian, CA 92036
Ph: (619) 662-4100 |
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