MS. ILENE BAKER (NPI# 1356634067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356634067 |
| Entity Type | Individual |
| Full Name | MS. ILENE BAKER |
| Credential | LISAC |
| Practice Address |
1650 E Fort Lowell Rd Suite 202 Tucson AZ 85719-2374 |
| Practice Telephone | 5203274505 |
| Practice Fax Number | 5202021889 |
| Mailing Telephone | 5203274505 |
| Mailing Fax Number | 5202021889 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-10560 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1650 E FORT LOWELL RD SUITE 202 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033156567 | Codac Health Recovery and Wellness | Community/Behavioral Health | 1650 E Fort Lowell Rd, Tucson, AZ 85719-2378 | 2006-06-01 |
| 1275082042 | Elizabeth Frances | Counselor | 1650 E Fort Lowell Rd, Tucson, AZ 85719-2374 | 2016-09-22 |
| 1871046474 | Helen Okocha | Community/Behavioral Health | 1650 E Fort Lowell Rd, Suite 202, Tucson, AZ 85719-2374 | 2016-07-29 |
| 1962955955 | Daniel Krepps | Counselor | 1650 E Fort Lowell Rd, Tucson, AZ 85719-2374 | 2016-07-26 |
| 1972923597 | Bradley Newman | Counselor | 1650 E Fort Lowell Rd, Tucson, AZ 85719-2374 | 2014-04-22 |
| 1023449634 | R Russ | Psychologist | 1650 E Fort Lowell Rd, Ste 202, Tucson, AZ 85719-2374 | 2013-12-06 |
| 1932492782 | Amy Mendoza | Counselor | 1650 E Fort Lowell Rd, #202, Tucson, AZ 85719-2374 | 2011-05-25 |
| 1801189857 | Paul Axinn | Contractor | 1650 E Fort Lowell Rd, Tucson, AZ 85719-2374 | 2011-05-24 |
| 1255458212 | Joseph H Lee | Psychiatry & Neurology | 1650 E Fort Lowell Rd, #202, Tucson, AZ 85719-2374 | 2007-03-23 |
| 1548297245 | Jonathan Kandell | Social Worker | 1650 E Fort Lowell Rd, Suite 202, Tucson, AZ 85719-2374 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1508490673 | Terrence Hickey | Counselor | 11235 E Sundance Dr, Tucson, AZ 85749-8280 | 2020-02-27 |
| 1568092815 | Travis Anderson | Counselor | 2002 W Anklam Rd, Tucson, AZ 85745-2148 | 2020-01-24 |
| 1740830447 | Let All Thrive, LLC | Counselor | 1580 N Kolb Rd Ste 200, Tucson, AZ 85715-4933 | 2019-09-13 |
| 1316424526 | Wendy Sizer LLC | Counselor | 425 W Paseo Redondo Apt 3b, Tucson, AZ 85701-8258 | 2018-07-20 |
| 1841705043 | Cynthia Miller Potter | Counselor | 4144 E Broadway Blvd, Tucson, AZ 85711-3455 | 2017-12-10 |
| 1447791165 | Juan M. Salgado | Counselor | 7490 S. Camino De Oeste, Tucson, AZ 85757 | 2017-03-14 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1104374255 | Shannon Dexter Petrovich | Counselor | 5855 N Kolb Rd Unit 4208, Tucson, AZ 85750-0991 | 2016-09-19 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.