Mr Jason Todd Baker, MA, LPC | |
5751 Kroger Dr, Ste 237, Keller, TX 76248-5532 | |
(817) 812-2880 | |
(817) 812-3096 |
Full Name | Mr Jason Todd Baker |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 5751 Kroger Dr, Keller, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891703096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 17529 (Texas) | Primary |
Entity Name | Logos Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881852952 PECOS PAC ID: 3476804519 Enrollment ID: O20180928000545 |
Mailing Address | Practice Location Address |
---|---|
Mr Jason Todd Baker, MA, LPC 5751 Kroger Dr, Ste 237, Keller, TX 76248-5532 Ph: (817) 812-2880 | Mr Jason Todd Baker, MA, LPC 5751 Kroger Dr, Ste 237, Keller, TX 76248-5532 Ph: (817) 812-2880 |
Darlene Ella Vanchura, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5751 Kroger Dr, Suite 235, Keller, TX 76248 Phone: 817-371-4312 | |
Michael David Webb, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1858 Keller Pkwy, Suite D, Keller, TX 76248 Phone: 817-791-5703 | |
Mr. Robert G Harwell, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N Main St, #a, Keller, TX 76248 Phone: 817-337-1603 Fax: 817-337-1604 | |
Katherine Leath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Main St Ste 1, Keller, TX 76248 Phone: 817-999-6410 | |
Mrs. Kate Ann Mann, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 816 Keller Pkwy, Suite B302, Keller, TX 76248 Phone: 817-562-8731 Fax: 817-562-8222 | |
Melisa Valeri Elieson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1664 Keller Pkwy, Suite 100, Keller, TX 76248 Phone: 817-854-3201 Fax: 817-854-3201 | |
Kimberly Jill Smith, LPC Counselor Medicare: Medicare Enrolled Practice Location: 620 Stoneglen Dr Ste B, Keller, TX 76248 Phone: 817-562-8800 |