MS. JACQUELINE BAKER MH21380
NPI 1326415662
Counselor - Addiction (Substance Use Disorder) in Jacksonville, FL

Active since August 21, 2015PECOS Enrolled
580 ELLIS RD S, JACKSONVILLE, FL 32254(904) 423-0017 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Mar 29, 2018 (2 updates tracked since 2018).

About Ms. Jacqueline Baker Mh21380 NPPES

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

MS. JACQUELINE BAKER MH21380 (NPI 1326415662) is an individual addiction (substance use disorder) provider in Jacksonville, Florida and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326415662
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JACQUELINE BAKERCredential: MH21380
Location Address580 ELLIS RD SJacksonville, FL 32254-3582
Mailing Address1453 Winnebago AveJacksonville, FL 32210-1156 · (754) 264-5084
Sole ProprietorYes
Enumeration DateAugust 21, 2015
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1326415662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
580 ELLIS RD S, Jacksonville, FL 32254

Other Names 1

Professional Name (2)Jacqueline Baker Lmhc

Accepted 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)

Ms. Jacqueline Baker Mh21380 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 6

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

Community/Behavioral Health
580 ELLIS RD S, SUITE 118
JACKSONVILLE, FL 32254
Counselor
580 ELLIS RD S
JACKSONVILLE, FL 32254
Counselor
580 ELLIS RD S, STE 118
JACKSONVILLE, FL 32254
Marriage & Family Therapist
580 ELLIS RD S, SUITE 118
JACKSONVILLE, FL 32254
Community/Behavioral Health
580 ELLIS RD S
JACKSONVILLE, FL 32254
Counselor (Mental Health)
580 ELLIS RD S, STE 118
JACKSONVILLE, FL 32254

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 Jacqueline Baker's NPI number?

The NPI number for Jacqueline Baker is 1326415662. It was assigned to this individual provider in the NPPES registry on August 21, 2015. The provider is also known as Jacqueline Baker Lmhc.

Where is Jacqueline Baker located?

Jacqueline Baker practices at 580 Ellis Rd S, Jacksonville, FL 32254. The listed phone number is (904) 423-0017.

What is Jacqueline Baker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jacqueline Baker enrolled in Medicare?

Yes. Jacqueline Baker is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Baker accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jacqueline Baker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Baker was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.