MR. MARC WERNER BAISDEN MA CMHC MSCP CIS NPI 1538302054

NPI Information

NPI: 1538302054
Provider Name: MR. MARC WERNER BAISDEN, MA, CMHC, MSCP, CIS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
11921 E PALMER WASILLA HWY
PALMER, AK
ZIP 99645
Phone: (907) 745-2634
Get Directions

MR. Marc Werner Baisden, MA, CMHC, MSCP, CIS is a mental health counselor in Palmer, AK. MR. Marc Werner Baisden, MA, CMHC, MSCP, CIS NPI is 1538302054. 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:

11921 E PALMER WASILLA HWY
PALMER, AK
ZIP 99645-833
Phone: (907) 745-2634

The enumeration date for this NPI number is 4/14/2009 and was last updated on 3/8/2021.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CL60147106	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health			Yes
3	101YP2500X	Counselor	Professional	CL60147106	WASHINGTON	No

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
1	320342477	MEDICAID	ALASKA

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: 11/14/2023

NPI Synchronization or Removal

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