Active NPIIndividual provider

Jeanie B Bakker, MA, LPC

Counselor, Professional in Bend, Oregon

NPI Number1770645863
Practice location
461 NE Greenwood Ave, Suite A, Bend, OR 97701-4607
Fax
541-312-6343
Last updated
March 7, 2012

Jeanie Beth Bakker is a Counselor, Professional based in Bend, OR. Jeanie Beth Bakker practices in Bend, OR and has the professional credentials of MA, LPC. The NPI Number for Jeanie Beth Bakker is 1770645863 and holds a License No. C2638 (OR). The current practice location address for Jeanie Beth Bakker is 461 NE Greenwood Ave, Suite A, Bend, OR 97701-4607 and can be reached out via phone at 541-617-7365 and via fax at 541-312-6343.

Provider Profile Details

NPI Number
1770645863
Provider Name
Jeanie Beth Bakker
Credential
MA, LPC
Provider Entity Type
Individual
Gender
Female
Address
461 NE Greenwood Ave, Suite A, Bend, OR 97701-4607
Phone Number
541-617-7365
Fax Number
541-312-6343
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
December 14, 2006
Last Update Date
March 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
461 NE Greenwood Ave
Suite A
Bend, OR 97701-4607
City
Bend
State
Oregon
Zip
97701-4607
Phone Number
541-617-7365
Fax Number
541-312-6343
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
461 NE Greenwood Ave
Suite A
Bend, OR 97701-4607
City
Bend
State
OR
Zip
97701-4607
Phone Number
541-617-7365
Fax Number
541-312-6343

License Information

License Number
C2638
License State
OR
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeanie B Bakker, MA, LPC?

The NPI number of Jeanie B Bakker, MA, LPC is 1770645863. It was assigned on December 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Jeanie B Bakker, MA, LPC?

Jeanie B Bakker, MA, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in OR under license number C2638.

Where does Jeanie B Bakker, MA, LPC practice?

The practice location is 461 NE Greenwood Ave, Suite A, Bend, OR 97701-4607. The office can be reached at 541-617-7365 (phone) or 541-312-6343 (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 1770645863 directly on the NPPES registry website.

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