Healthcare Provider Details

I. General information

NPI: 1437078292
Provider Name (Legal Business Name): TIMOTHY ALLEN BAKER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2649 SW ARROWHEAD RD
TOPEKA KS
66614-2458
US

IV. Provider business mailing address

2649 SW ARROWHEAD RD
TOPEKA KS
66614-2458
US

V. Phone/Fax

Practice location:
  • Phone: 785-233-0516
  • Fax: 785-271-4433
Mailing address:
  • Phone: 785-233-0516
  • Fax: 785-271-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number05372
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: