KENNISE J BAKER LMSW
NPI 1972205425
Counselor - Mental Health in Herndon, VA
About Kennise J Baker Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNISE J BAKER LMSW (NPI 1972205425) is an individual mental health provider in Herndon, Virginia, licensed in Virginia (0903003470) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kennise J Baker Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kennise Baker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vienna, VA 22182
- Reassigned Medicare billing, District of Columbia enrollment
- 21 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kennise Baker's NPI number?
The NPI number for Kennise Baker is 1972205425. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Kennise Baker located?
Kennise Baker practices at 2343 Dulles Station Blvd Apt B04, Herndon, VA 20171. The listed phone number is (571) 241-9834.
What is Kennise Baker's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kennise Baker enrolled in Medicare?
Yes. Kennise Baker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kennise Baker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kennise Baker reassigns Medicare benefits to 2 organizations: Womens Center (Vienna, VA) and Grow Healthcare Group PA (Miami, FL). Each 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 Kennise Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kennise Baker was last updated on March 23, 2023. 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.
# Kennise J Baker, LMSW · NPI 1972205425
Mental Health provider in Herndon, Virginia. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1972205425 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0903003470 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2343 DULLES STATION BLVD APT B04, Herndon, VA 20171-6397
- **Phone:** (571) 241-9834
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Womens Center (NPI 1164527859, Vienna, VA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972205425) · Data from the CMS NPPES public registry.