ADAM V BACA MA LPCC NPI 1104817832

NPI Information

  • NPI: 1104817832
  • Provider Name: ADAM V BACA, MA, LPCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2325 CERRILLOS RD
    THE LIFE LINK
    SANTA FE, NM
    ZIP 87505
  • Phone: (505) 438-0010

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NPI Details

Adam V Baca, MA, LPCC is a mental health counselor in Santa Fe, NM with 25 years of experience. Adam V Baca, MA, LPCC NPI is 1104817832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2325 CERRILLOS RD
THE LIFE LINK
SANTA FE, NM
ZIP 87505-373
Phone: (505) 438-0010

The NPI 1104817832 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 2/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health0086901NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
165659058MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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