Healthcare Provider Details

I. General information

NPI: 1720910193
Provider Name (Legal Business Name): ANALYTIC THERAPY & CONSULTATION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1581 BEACON ST
BROOKLINE MA
02446-4602
US

IV. Provider business mailing address

1581 BEACON ST
BROOKLINE MA
02446-4602
US

V. Phone/Fax

Practice location:
  • Phone: 857-939-2506
  • Fax: 617-704-9287
Mailing address:
  • Phone: 857-939-2506
  • Fax: 617-704-9287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. JESSICA ANN BAKER
Title or Position: OWNER/CLINICIAN
Credential: LMHC
Phone: 857-939-2506