1. Home
  2. Directory
  3. New York
  4. Fayetteville
  5. Counselor
  6. NPI Profile

KELLY GOSSARD BAKER LMHC
NPI 1871841254
Counselor - Mental Health in Fayetteville, NY

Active since August 16, 2012
6838 E GENESEE ST STE E, FAYETTEVILLE, NY 13066(315) 430-7150 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Gossard Baker Lmhc NPPES

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

KELLY GOSSARD BAKER LMHC (NPI 1871841254) is an individual mental health provider in Fayetteville, New York, licensed in New York (000882) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1871841254
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY GOSSARD BAKERCredential: LMHC
Location Address6838 E GENESEE ST STE EFayetteville, NY 13066-1029
Mailing Address6838 E Genesee St Ste EFayetteville, NY 13066-1029 · (315) 430-7150
Phone(315) 430-7150
Sole ProprietorYes
Enumeration DateAugust 16, 2012
Last NPPES UpdateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
✔ NPI 1871841254 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 NY · 000882
6838 E GENESEE ST STE E, Fayetteville, NY 13066
Open in Google Maps ↗

Other Names 1

Professional Name (2)Kelly R Baker

Other Identifiers 3

Other02994838NY · Group Medicaid
OtherBA1047NY · Group Medicare
Other1235184235Group Npi

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 Kelly Baker's NPI number?

The NPI number for Kelly Baker is 1871841254. It was assigned to this individual provider in the NPPES registry on August 16, 2012. The provider is also known as Kelly R Baker.

Where is Kelly Baker located?

Kelly Baker practices at 6838 E Genesee St Ste E, Fayetteville, NY 13066. The listed phone number is (315) 430-7150.

What is Kelly Baker'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 Kelly Baker was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.