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ALEX LEE BACCUS
NPI 1356062129
Peer Specialist in Centralia, WA

Active since September 08, 2022
1707 COOKS HILL RD, CENTRALIA, WA 98531(360) 523-8396 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alex Lee Baccus NPPES

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

ALEX LEE BACCUS (NPI 1356062129) is an individual peer specialist in Centralia, Washington and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1356062129
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameALEX LEE BACCUS
Location Address1707 COOKS HILL RDCentralia, WA 98531-9071
Mailing Address1707 Cooks Hill RdCentralia, WA 98531-9071 · (360) 523-8396
Phone(360) 523-8396
Sole ProprietorNo
Enumeration DateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1356062129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1707 COOKS HILL RD, Centralia, WA 98531
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Other Providers at the Same Location NPPES 15

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

DR. WANDA JIMENEZ M.D.M.P.H
Preventive Medicine (Public Health & General Preventive Medicine)
1707 COOKS HILL RD
CENTRALIA, WA 98531
Lewis County (360) 736-1961
DEBRA LYNNE CORNWELL
Peer Specialist
1707 COOKS HILL RD
CENTRALIA, WA 98531
Lewis County (360) 261-6930
KARL BEALL CTRS/R
Recreation Therapist
1707 COOKS HILL RD
CENTRALIA, WA 98531
Lewis County (360) 261-6930
DUSTIN MERIDITH
Counselor
1707 COOKS HILL RD
CENTRALIA, WA 98531
Lewis County (360) 795-5955
CASSANDRA KLEIN
Peer Specialist
1707 COOKS HILL RD
CENTRALIA, WA 98531
Lewis County (360) 261-6930
MARANDA KEEL MILLER BS, AAC
Case Manager/Care Coordinator
1707 COOKS HILL RD
CENTRALIA, WA 98531
Lewis County (360) 523-8356
CHALA GRAY
Counselor
1707 COOKS HILL RD
CENTRALIA, WA 98531
Lewis County (360) 261-6930
TYNA PATRICIA CROSBY
Counselor
1707 COOKS HILL RD
CENTRALIA, WA 98531
Lewis County (360) 827-5220

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 Alex Baccus's NPI number?

The NPI number for Alex Baccus is 1356062129. It was assigned to this individual provider in the NPPES registry on September 8, 2022.

Where is Alex Baccus located?

Alex Baccus practices at 1707 Cooks Hill Rd, Centralia, WA 98531. The listed phone number is (360) 523-8396.

What is Alex Baccus's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Alex Baccus was last updated on September 8, 2022. 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.