MEDICARE: MEGAN BAKER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	37PC00915100	NJ

General Provider Information

NPI Number	:	1821598244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN BAKER LPC

Provider Business Mailing Address
First Line	:	5 NEWCASTLE CT
Second Line	:
City	:	MOUNTAIN LAKES
State	:	NJ
Zip	:	07046-1450
Country	:	US
Telephone Number	:	973-625-7029
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 MORRIS AVE
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-1735
Country	:	US
Telephone Number	:	973-625-7029
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2018
Last Update Date	:	05/18/2026

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