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MEREDITH BACA LPCC, LPC
NPI 1306242474
Counselor - Mental Health in Espanola, NM

Active since November 17, 2014PECOS Enrolled
360 FOG ROAD, ESPANOLA, NM 87532(210) 862-1037 Get Directions Write a Review

NPPES record last updated: November 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Meredith Baca Lpcc, Lpc NPPES

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

MEREDITH BACA LPCC, LPC (NPI 1306242474) is an individual mental health provider in Espanola, New Mexico, licensed in New Mexico (CCMH200151) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1306242474
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMEREDITH BACACredential: LPCC, LPC
Location Address360 FOG ROADEspanola, NM 87532
Mailing AddressPo Box 1045Ohkay Owingeh, NM 87566-1045 · (210) 593-8552
Phone(210) 862-1037
Sole ProprietorYes
Enumeration DateNovember 17, 2014
Last NPPES UpdateNovember 9, 2018
✔ NPI 1306242474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NM · CCMH200151✔ Licensed in TX · 68716
360 FOG ROAD, Espanola, NM 87532
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Secondary Practice Location 1

Location 19503 Powhatan Dr Apt 404San Antonio, TX 78230-3119 · Phone (210) 593-8552

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meredith Baca Lpcc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. JESSIE JEAN MACKENZIE LMFT
Marriage & Family Therapist
360 FOG ROAD
ESPANOLA, NM 87532
Rio Arriba County (505) 692-6315
SANTA CLARA PUEBLO
Counselor
360 FOG ROAD
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7326

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 Meredith Baca's NPI number?

The NPI number for Meredith Baca is 1306242474. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Where is Meredith Baca located?

Meredith Baca practices at 360 Fog Road, Espanola, NM 87532. The listed phone number is (210) 862-1037.

What is Meredith Baca's specialty?

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

Is Meredith Baca enrolled in Medicare?

Yes. Meredith Baca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Meredith Baca was last updated on November 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.