JUSTIN BAKER (AMFT) – Marriage & Family Therapist, NPI 1134744733

JUSTIN BAKER (AMFT) is a healthcare provider. based in Santa cruz, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials AMFT. They hold a License No. 119338 (CA). The NPI Number for JUSTIN BAKER (AMFT) is 1134744733

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN BAKER (AMFT)
NPI
1134744733
Phone
Not provided
Address
700 FREDERICK ST STE 103
Enumeration Date
10 June 2020
Last Update Date
10 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8316478490
Graduation Year
2019 (7 years ago)
PAC ID
2163874314
Group Practice PAC ID
2961763784
Professional Enrollment ID
I20240123004323
Address ID
CA939406535MO9829XLNXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

Provider Addresses for JUSTIN BAKER (AMFT)

  • 700 FREDERICK ST STE 103

    SANTA CRUZ, CA 950622239

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240123004323IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961763784View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Clinical PsychologistCA
Clinical PsychologistMA
Clinical PsychologistLA
Clinical Social WorkerCA
Clinical PsychologistTX
Marriage And Family TherapistCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Can I verify JUSTIN BAKER (AMFT) with an NPI only?
You can start verification with NPI 1134744733 for JUSTIN BAKER (AMFT), then check state licensing separately.
Can I rely on JUSTIN BAKER (AMFT) being an active provider?
As of the registry snapshot, JUSTIN BAKER (AMFT) is marked active.
What is JUSTIN BAKER (AMFT)'s primary classification?
Marriage & Family Therapist is the headline specialty for JUSTIN BAKER (AMFT) here. Clinical services aligned with this taxonomy classification.
What address line appears for JUSTIN BAKER (AMFT)?
JUSTIN BAKER (AMFT)'s geographic hint is Santa Cruz, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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