Jerrica Baker
Counselor, Addiction (Substance Use Disorder) in Bend, Oregon
1174385314- Practice location
- 155 NE Revere Ave Ste 150, Bend, OR 97701-4147
- Phone
- 541-617-4544
- Fax
- 541-385-4755
- Last updated
- January 24, 2024
Jerrica Baker is a Counselor, Addiction (Substance Use Disorder) based in Bend, OR. The NPI number for Jerrica Baker is 1174385314 and holds license No. 211110271 (OR). The current practice location address is 155 NE Revere Ave Ste 150, Bend, OR 97701-4147 and the office can be reached by phone at 541-617-4544 and by fax at 541-385-4755. The NPI was assigned on January 24, 2024 and the record was last updated in NPPES on January 24, 2024.
●Provider Profile Details
- NPI Number
- 1174385314
- Provider Name
- Jerrica Baker
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Enumeration Date
- January 24, 2024
- Last Update Date
- January 24, 2024
- Certification Date
- January 24, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 155 NE Revere Ave Ste 150
Bend, OR 97701-4147 - City
- Bend
- State
- Oregon
- ZIP
- 97701-4147
- Country
- US
- Phone Number
- 541-617-4544
- Fax Number
- 541-385-4755
✉Business Mailing Address
- Address
- 155 NE Revere Ave Ste 150
Bend, OR 97701-4147 - City
- Bend
- State
- OR
- ZIP
- 97701-4147
- Phone Number
- 541-617-4544
- Fax Number
- 541-385-4755
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | Yes | 211110271 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Jerrica Baker?
The NPI number of Jerrica Baker is 1174385314. It was assigned on January 24, 2024 and is currently active in the NPPES registry.
What is the specialty of Jerrica Baker?
Jerrica Baker is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X) and holds license No. 211110271 (OR).
Where does Jerrica Baker practice?
The practice location is 155 NE Revere Ave Ste 150, Bend, OR 97701-4147. The office can be reached at 541-617-4544 (phone) or 541-385-4755 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174385314 directly on the NPPES registry website at npiregistry.cms.hhs.gov.