BRAD BAKER PHD
NPI 1245391549
Counselor - Professional in Idaho Falls, ID

Active since December 12, 2006
2235 E 25TH ST STE 290, IDAHO FALLS, ID 83404(208) 552-0490(208) 552-2518 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brad Baker Phd NPPES

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

BRAD BAKER PHD (NPI 1245391549) is an individual professional provider in Idaho Falls, Idaho, licensed in Idaho (LCPC-3192) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1245391549
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRAD BAKERCredential: PHD
Location Address2235 E 25TH ST STE 290Idaho Falls, ID 83404-7595
Mailing AddressPo Box 3480Idaho Falls, ID 83403-3480 · (208) 525-2090 · Fax (208) 525-2662
Fax(208) 552-2518
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1245391549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ID · LCPC-3192
2235 E 25TH ST STE 290, Idaho Falls, ID 83404

Other Identifiers 1

Medicaid806472900ID

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
2235 E 25TH ST STE 290
IDAHO FALLS, ID 83404
Social Worker (Clinical)
2235 E 25TH ST STE 290
IDAHO FALLS, ID 83404

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 Brad Baker's NPI number?

The NPI number for Brad Baker is 1245391549. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Brad Baker located?

Brad Baker practices at 2235 E 25th St Ste 290, Idaho Falls, ID 83404. The listed phone number is (208) 552-0490.

What is Brad Baker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Brad Baker was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.