Healthcare Provider Details

I. General information

NPI: 1194689505
Provider Name (Legal Business Name): JEANNE M BARON LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9438 60TH AVE # A3
ELMHURST NY
11373-5070
US

IV. Provider business mailing address

121 CLARKSON AVE
BROOKLYN NY
11226-2001
US

V. Phone/Fax

Practice location:
  • Phone: 718-896-5615
  • Fax: 718-576-2693
Mailing address:
  • Phone: 312-402-7171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP132546
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: