1. Home
  2. Directory
  3. Mississippi
  4. Southaven
  5. Counselor
  6. NPI Profile

TAMILA BAKER
NPI 1255024162
Counselor - Professional in Southaven, MS

Active since May 29, 2023Opted out of Medicare · through Jun 12, 2028
1310 GOODMAN RD E, SOUTHAVEN, MS 38671(662) 470-5433 Get Directions Write a Review

NPPES record last updated: July 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 22, 2023, May 29, 2023 (2 updates tracked since 2023).

About Tamila Baker NPPES

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

TAMILA BAKER (NPI 1255024162) is an individual professional provider in Southaven, Mississippi, licensed in Mississippi (3003) and active in the NPI registry since May 2023. She has opted out of Medicare through June 12, 2028.

NPPES Registry Identity

NPI1255024162
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTAMILA BAKER
Location Address1310 GOODMAN RD ESouthaven, MS 38671-9542
Mailing Address1310 Goodman Rd ESouthaven, MS 38671-9542 · (662) 470-5433 · Fax (662) 536-7576
Phone(662) 470-5433
Sole ProprietorNo
Enumeration DateMay 29, 2023
Last NPPES UpdateJuly 22, 20232 updates tracked since enumeration
NPPES CertifiedJuly 22, 2023
✔ NPI 1255024162 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 MS · 3003
1310 GOODMAN RD E, Southaven, MS 38671
Open in Google Maps ↗

Other Names 1

Former Name (1)Tamila Brown

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tamila Baker has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 12, 2024 through June 12, 2028.

Opt-Out Effective DateJune 12, 2024
Opt-Out In Effect ThroughJune 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

KIMBERLY DAVIS LPC
Counselor (Professional)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 470-5433
STEPHANIE ARMSTRONG
Counselor (Professional)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 397-1502
BRIGHTER DAYS COUNSELING LLC
Counselor (Professional)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (901) 849-6032
SOULSHINE COUNSELING AND WELLNESS, LLC
Counselor (Mental Health)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 470-5433
MARY FOX
Counselor (Professional)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 470-5433
CAITLIN M HARLEY LCSW
Social Worker (Clinical)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 470-5433

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 Tamila Baker's NPI number?

The NPI number for Tamila Baker is 1255024162. It was assigned to this individual provider in the NPPES registry on May 29, 2023. The provider is also known as Tamila Brown.

Where is Tamila Baker located?

Tamila Baker practices at 1310 Goodman Rd E, Southaven, MS 38671. The listed phone number is (662) 470-5433.

What is Tamila Baker's specialty?

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

Is Tamila Baker enrolled in Medicare?

No. Tamila Baker has opted out of Medicare through June 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tamila Baker was last updated on July 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.