KELLY GOSSARD BAKER


Address: 6838 E Genesee St Ste E, Fayetteville, NY 13066-1029
Phone: 3154307150

KELLY GOSSARD BAKER (NPI# 1871841254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871841254
Entity Type Individual
Full Name KELLY GOSSARD BAKER
Other Name KELLY R BAKER
Credential LMHC
Practice Address 6838 E Genesee St Ste E
Fayetteville
NY 13066-1029
Practice Telephone 3154307150
Mailing Telephone 3154307150
Enumeration Date 2012-08-16
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
000882 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY GROUP MEDICAID 02994838 01
NY GROUP MEDICARE BA1047 01
GROUP NPI 1235184235 01

Other Providers KELLY BAKER

NPI Name Taxonomy Address Enumeration
1346767506 Kelly Baker Social Worker 520 Superior St., Port Huron, MI 48060 2017-08-28
1740729508 Kelly Marie Baker Registered Nurse 220 Sandy Brook Rd, North Scituate, RI 02857-2840 2017-02-13
1922496538 Kelly Michelle Baker Social Worker 2319 Good Hope Ct Se Apt 203, Washington, DC 20020-3683 2015-01-05
1104258706 Kelly Baker Doula 410 Wells Ln, Versailles, KY 40383-1545 2013-08-06
1316287352 Kelly Lind Baker Doula 9622 Stockport Cir, Summerville, SC 29485-9006 2013-02-28
1346585163 Kelly Elizabeth Baker Acupuncturist 11300 Roosevelt Way Ne Ste 100, Seattle, WA 98125-6243 2012-12-05
1124253596 Kelly Ann Baker Physical Therapist 5100 Bradenton Ave Ste D, Dublin, OH 43017 2009-05-28
1073775185 Kelly Baker Skilled Nursing Facility 853 Lexington Rd, Harrodsburg, KY 40330-1260 2008-06-30
1841494085 Kelly Marie Baker Counselor 121 S Madison, Pittsfield, IL 62363 2007-06-12
1619013398 Kelly W Baker Chiropractor 852 Manzanita Ct Ste 150, Chico, CA 95926-2399 2007-01-29

Office Location

Street Address 6838 E GENESEE ST STE E
City FAYETTEVILLE
State NY
Zip Code 13066-1029

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457819963 Word Wellness Center, LLC Psychologist 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 2019-03-05
1629529060 Lorna Boyer Chase Marriage & Family Therapist 109 White Heron Circle, Fayetteville, NY 13066 2016-10-20
1699221432 Roman Batyuk Nurse Practitioner 4100 Medical Center Drive, Fayetteville, NY 13066 2016-08-31
1427405133 National Eye Care, Inc Optometrist 5160 Kinloch Circle, Fayetteville, NY 13066 2016-05-23
1013375328 Kristin Kukenberger Chiropractor 7000 E Genesee St Bldg B, Fayetteville, NY 13066 2016-02-01
1124394671 Susan Hartman Brenizer Marriage & Family Therapist 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 2012-03-29
1245541432 Rene L Converse Occupational Therapist 7200 E. Genesee Street, Fayetteville, NY 13066 2010-06-23
1689815805 Menorah Park Group Residents Clinic/Center 12 Jamar Drive, Dewitt, NY 13066 2009-03-18
1063677458 John Marcena Glezen Obstetrics & Gynecology 1 The Gazebo, Fayetteville, NY 13066 2008-07-24
1629232418 Tucker Martin Harris Otolaryngology 4000 Medical Center Dr # 117, Fayetteville, NY 13066 2008-07-11
Find all providers in zip 13066

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619583432 Don Del-raye Jones Counselor 521 Rempstone Ln, Fayetteville, NC 28311-5501 2020-09-17
1023628278 Quadiedra Amos Counselor 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 2020-08-03
1699385963 William Jones Counselor 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 2020-08-03
1952919573 Bianca Thomas Counselor 2713 Lake Club Dr, Fayetteville, NC 28304-5349 2020-07-20
1962029546 Deanna Dale Dunn Counselor 767 W North St Ste 112, Fayetteville, AR 72701-1865 2020-06-30
1053937490 Balance Ground Counseling LLC Counselor 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 2020-06-22
1659994010 Martanika Michelle Smith Counselor 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 2020-05-20
1477188985 Qiana Tamieka Gatling Counselor 4417 Briton Cir, Fayetteville, NC 28314-2401 2020-03-04
1467086496 The Pair Center for Couples Counseling Pllc Counselor 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 2020-02-28
1194359182 Meredith Leigh Kimbrough Counselor 31 E Center St Ste 210, Fayetteville, AR 72701-5391 2020-02-27
Find all providers in FAYETTEVILLE

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 13066

Improve Information

Please comment or provide details below to improve the information on KELLY GOSSARD BAKER.

Dataset Information

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.

Trending Searches