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JEANINNE MARIE BACA LGPC
NPI 1366319568
Counselor - Mental Health in Mount Airy, MD

Active since October 21, 2025
17197 HARDY RD, MOUNT AIRY, MD 21771(443) 413-3896 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeaninne Marie Baca Lgpc NPPES

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

JEANINNE MARIE BACA LGPC (NPI 1366319568) is an individual mental health provider in Mount Airy, Maryland, licensed in Maryland (LGP17166) and active in the NPI registry since October 2025. She maintains a secondary practice location in Frederick.

NPPES Registry Identity

NPI1366319568
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJEANINNE MARIE BACACredential: LGPC
Location Address17197 HARDY RDMount Airy, MD 21771-3216
Mailing Address17197 Hardy RdMount Airy, MD 21771-3216 · (443) 413-3896
Phone(443) 413-3896
Sole ProprietorNo
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1366319568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LGP17166
17197 HARDY RD, Mount Airy, MD 21771
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Secondary Practice Location 1

Location 1176 Thomas Johnson Dr Ste 204Frederick, MD 21702-4538 · Phone (240) 608-2307

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 Jeaninne Baca's NPI number?

The NPI number for Jeaninne Baca is 1366319568. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Jeaninne Baca located?

Jeaninne Baca practices at 17197 Hardy Rd, Mount Airy, MD 21771. The listed phone number is (443) 413-3896.

What is Jeaninne Baca's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeaninne Baca was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.