ANGELA BAKER LCPC/ ACADC NPI 1598114035

NPI Information

NPI: 1598114035
Provider Name: ANGELA BAKER, LCPC/ ACADC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
2205 IRONWOOD PI STE A/B
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 664-8347
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Angela Baker, LCPC/ ACADC is a professional counselor in Coeur D Alene, ID. Angela Baker, LCPC/ ACADC NPI is 1598114035. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2205 IRONWOOD PI STE A/B
COEUR D ALENE, ID
ZIP 83814-785
Phone: (208) 664-8347
Fax: (208) 664-9217

The NPI 1598114035 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 6/6/2016 and was last updated on 11/8/2023.

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)	10300	IDAHO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACADC11536	IDAHO	No
3	101YP2500X	Counselor	Professional	LPC6286	IDAHO	No
4	101YP2500X	Counselor	Professional	LCPC-9921	IDAHO	Yes

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	OPTUM1235503426	MEDICAID	IDAHO

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: 4/28/2024

NPI Synchronization or Removal

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