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ANGELINE BAUCOM LPCC
NPI 1497390066
Counselor - Professional in Julian, CA

Active since November 07, 2019PECOS Enrolled
2717 A. ST, JULIAN, CA 92036(619) 662-4100(760) 765-1278 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2026, Apr 18, 2026, Nov 7, 2019 (3 updates tracked since 2019).

About Angeline Baucom Lpcc NPPES

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

ANGELINE BAUCOM LPCC (NPI 1497390066) is an individual professional provider in Julian, California, licensed in California (22473) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497390066
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELINE BAUCOMCredential: LPCC
Location Address2717 A. STJulian, CA 92036
Mailing Address993 Postal WayVista, CA 92083-6945 · (760) 630-9922
Phone(619) 662-4100
Fax(760) 765-1278
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 7, 2019
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1497390066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 22473
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12826 (CA)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 117454 (CA)
2717 A. ST, Julian, CA 92036
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angeline Baucom Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294206553
PECOS Enrollment IDI20260608001716
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

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

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2717 A. ST
JULIAN, CA 92036
San Diego County (619) 662-4100

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 Angeline Baucom's NPI number?

The NPI number for Angeline Baucom is 1497390066. It was assigned to this individual provider in the NPPES registry on November 7, 2019.

Where is Angeline Baucom located?

Angeline Baucom practices at 2717 A. St, Julian, CA 92036. The listed phone number is (619) 662-4100.

What is Angeline Baucom's specialty?

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

Is Angeline Baucom enrolled in Medicare?

Yes. Angeline Baucom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angeline Baucom was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.