1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Counselor
  6. NPI Profile

KRISTOPHER W. R BAKER LCDC
NPI 1831811397
Counselor - Addiction (Substance Use Disorder) in Tyler, TX

Active since September 13, 2022
1510 S VINE AVE, TYLER, TX 75701(903) 526-4055 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristopher W. R Baker Lcdc NPPES

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

KRISTOPHER W. R BAKER LCDC (NPI 1831811397) is an individual addiction (substance use disorder) provider in Tyler, Texas, licensed in Texas (12645) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1831811397
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKRISTOPHER W. R BAKERCredential: LCDC
Location Address1510 S VINE AVETyler, TX 75701-2826
Mailing Address220 Private Road 8179Edom, TX 75754-5268 · (903) 519-6858
Phone(903) 526-4055
Sole ProprietorYes
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1831811397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in TX · 12645
1510 S VINE AVE, Tyler, TX 75701
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JESSICA ANN DUNNAVANT X LCDC
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Smith County (877) 848-9810
COURTNEY ROBERTS LVN
Preventive Medicine (Addiction Medicine)
1510 S VINE AVE
TYLER, TX 75701
Smith County (903) 526-4055
METHADONE CLINIC OF EAST TEXAS LLC
Clinic/Center (Methadone)
1510 S VINE AVE
TYLER, TX 75701
Smith County (800) 805-6989
MRS. BETHANY CHRISTEN LAMBERT LVN
Licensed Vocational Nurse
1510 S VINE AVE
TYLER, TX 75701
Smith County (903) 526-4055
MR. MATTHEW LYON LCDC
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Smith County (903) 526-4055
JOANNA LYNN SOLBRIG LCDC
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Smith County (903) 253-9449
PATRICIA ANN ROBERTS LVN
Licensed Vocational Nurse
1510 S VINE AVE
TYLER, TX 75701
Smith County (903) 526-4055
MRS. SHANA MICHELLE FERRARA LCDC
Counselor (Addiction (Substance Use Disorder))
1510 S VINE AVE
TYLER, TX 75701
Smith County (903) 526-4055

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 Kristopher Baker's NPI number?

The NPI number for Kristopher Baker is 1831811397. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Kristopher Baker located?

Kristopher Baker practices at 1510 S Vine Ave, Tyler, TX 75701. The listed phone number is (903) 526-4055.

What is Kristopher Baker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kristopher Baker was last updated on September 13, 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.