SHANNON BAKER
NPI 1316410913
Counselor - Professional in Canton, OH

Q: What is Shannon Baker's NPI number?

The NPI number for Shannon Baker is 1316410913. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Q: What is Shannon Baker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Baker was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 07, 2019PECOS Enrolled

624 MARKET AVE N, CANTON, OH 44702(330) 493-4553(330) 493-3761 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2021, Jan 7, 2019 (2 updates tracked since 2019).

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About Shannon Baker NPPES

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

SHANNON BAKER (NPI 1316410913) is an individual professional provider in Canton, Ohio, licensed in Ohio (E2102467-SUPV) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316410913

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHANNON BAKER

Location Address624 MARKET AVE NCanton, OH 44702-1017

Mailing Address624 Market Ave NCanton, OH 44702-1017 · (330) 493-4553 · Fax (330) 493-3761

Phone(330) 493-4553

Fax(330) 493-3761

Sole ProprietorYes

Enumeration DateJanuary 7, 2019

Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2024

✔ NPI 1316410913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E2102467-SUPV

Also ListedCounselorTaxonomy 101Y00000X

624 MARKET AVE N, Canton, OH 44702

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Baker 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 20

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

DEBRA ANN CASEY

Peer Specialist