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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DUSTIN ERNEST BAETZ
NPI 1174192173
Counselor - Mental Health in Longwood, FL

Active since June 23, 2021
2290 N RONALD REAGAN BLVD STE 116, LONGWOOD, FL 32750(407) 215-0095 Get Directions Write a Review

NPPES record last updated: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2026, Jun 23, 2021 (2 updates tracked since 2021).

About Dustin Ernest Baetz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN ERNEST BAETZ (NPI 1174192173) is an individual mental health provider in Longwood, Florida, licensed in Florida (MH21933) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1174192173
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDUSTIN ERNEST BAETZ
Location Address2290 N RONALD REAGAN BLVD STE 116Longwood, FL 32750-3534
Mailing AddressGeneral DeliveryOrlando, FL 32802-9999 · (347) 229-2489
Phone(407) 215-0095
Sole ProprietorNo
Enumeration DateJune 23, 2021
Last NPPES UpdateOctober 17, 20262 updates tracked since enumeration
NPPES CertifiedOctober 17, 2026
✔ NPI 1174192173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH21933
2290 N RONALD REAGAN BLVD STE 116, Longwood, FL 32750
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIYANNA BRADFORD
Counselor
2290 N RONALD REAGAN BLVD STE 116
LONGWOOD, FL 32750
Seminole County (407) 215-0095
DR. ANGELA J MEDINA-LAGO
Psychologist (Counseling)
2290 N RONALD REAGAN BLVD STE 116
LONGWOOD, FL 32750
Seminole County (407) 962-7953
MISS KIMBERLY SARA LACHMANEN RN
Registered Nurse
2290 N RONALD REAGAN BLVD STE 116
LONGWOOD, FL 32750
Seminole County (407) 215-0095
TAMELA MAE MITCHELL
Case Manager/Care Coordinator
2290 N RONALD REAGAN BLVD STE 116
LONGWOOD, FL 32750
Seminole County (614) 641-3322
IMPOWER, INC
Community/Behavioral Health
2290 N RONALD REAGAN BLVD STE 116
LONGWOOD, FL 32750
Seminole County (407) 331-8002
MARLO PATRICE PEARSON
Counselor
2290 N RONALD REAGAN BLVD STE 116
LONGWOOD, FL 32750
Seminole County (407) 215-0095
DAVID SCHNEIDER
Counselor (School)
2290 N RONALD REAGAN BLVD STE 116
LONGWOOD, FL 32750
Seminole County (407) 215-0095
MRS. LISA N DREASHER RN
Registered Nurse
2290 N RONALD REAGAN BLVD STE 116
LONGWOOD, FL 32750
Seminole County (407) 215-0095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Baetz's NPI number?

The NPI number for Dustin Baetz is 1174192173. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Where is Dustin Baetz located?

Dustin Baetz practices at 2290 N Ronald Reagan Blvd Ste 116, Longwood, FL 32750. The listed phone number is (407) 215-0095.

What is Dustin Baetz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dustin Baetz was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.