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JANESSA BACCUS
NPI 1629833280
Peer Specialist in Locust Grove, OK

Active since February 13, 2024
210 BRYAN, LOCUST GROVE, OK 74352(918) 824-5953 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, May 5, 2025, Mar 7, 2024 (3 updates tracked since 2024).

About Janessa Baccus NPPES

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

JANESSA BACCUS (NPI 1629833280) is an individual peer specialist in Locust Grove, Oklahoma and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1629833280
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJANESSA BACCUS
Location Address210 BRYANLocust Grove, OK 74352-5154
Mailing Address210 BryanLocust Grove, OK 74352-5154 · (918) 824-5953
Phone(918) 824-5953
Sole ProprietorYes
Enumeration DateFebruary 13, 2024
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1629833280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
210 BRYAN, Locust Grove, OK 74352
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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 Janessa Baccus's NPI number?

The NPI number for Janessa Baccus is 1629833280. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Janessa Baccus located?

Janessa Baccus practices at 210 Bryan, Locust Grove, OK 74352. The listed phone number is (918) 824-5953.

What is Janessa 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 Janessa Baccus was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.