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MS. JACQUELINE BAXLEY MS, LPC, ACS
NPI 1558485045
Counselor - Professional in Elizabeth, NJ

Active since March 19, 2007PECOS Enrolled
1139 E JERSEY ST STE 417, ELIZABETH, NJ 07201(908) 662-3200(908) 662-3202 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 11, 2024, Nov 8, 2024, Jan 14, 2021 and 1 more (4 updates tracked since 2019).

About Ms. Jacqueline Baxley Ms, Lpc, Acs NPPES

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

MS. JACQUELINE BAXLEY MS, LPC, ACS (NPI 1558485045) is an individual professional provider in Elizabeth, New Jersey, licensed in New Jersey (37PC0040200) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558485045
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JACQUELINE BAXLEYCredential: MS, LPC, ACS
Location Address1139 E JERSEY ST STE 417Elizabeth, NJ 07201-2446
Mailing Address911 Worth AveElizabeth, NJ 07201-2446 · (084) 635-5149
Phone(908) 662-3200
Fax(908) 662-3202
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 19, 2007
Last NPPES UpdateNovember 11, 20244 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1558485045 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 NJ · 37PC0040200
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1139 E JERSEY ST STE 417, Elizabeth, NJ 07201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jacqueline Baxley Ms, Lpc, Acs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951746973
PECOS Enrollment IDI20260713003028
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Baxley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monarch
378 mi
Community/Behavioral Health
809 TIFFANY BLVD
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 260 clinicians in this Medicare group
NPI 1346680543 (704) 986-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

EBENEZER OLUSEYE GBAROYE
In Home Supportive Care
1139 E JERSEY ST STE 417
ELIZABETH, NJ 07201
Union County (973) 704-7942
MRS. TINA BEATRICE BUBB MA, LAC
Counselor (Mental Health)
1139 E JERSEY ST STE 417
ELIZABETH, NJ 07201
Union County (908) 622-3200
EVERY CHILD MATTERS
Community/Behavioral Health
1139 E JERSEY ST STE 417
ELIZABETH, NJ 07201
Union County (908) 622-3200

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 Baxley's NPI number?

The NPI number for Jacqueline Baxley is 1558485045. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Jacqueline Baxley located?

Jacqueline Baxley practices at 1139 E Jersey St Ste 417, Elizabeth, NJ 07201. The listed phone number is (908) 662-3200.

What is Jacqueline Baxley's specialty?

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

Is Jacqueline Baxley enrolled in Medicare?

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

Which organization bills Medicare for Jacqueline Baxley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Baxley reassigns Medicare benefits to Monarch (Rocky Mount, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Baxley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Baxley accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Jacqueline Baxley 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 Baxley was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.