ANDREA MARIE BAXTER – Mental Health Counselor, NPI 1083228456

ANDREA MARIE BAXTER is a healthcare provider. based in Jacksonville, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MH23282 (FL). The NPI Number for ANDREA MARIE BAXTER is 1083228456

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA MARIE BAXTER
NPI
1083228456
Phone
(904) 742-6741
Address
1401 RIVERPLACE BLVD APT 1813
Enumeration Date
3 September 2020
Last Update Date
26 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8885153834
Graduation Year
2020 (6 years ago)
PAC ID
9931620648
Group Practice PAC ID
5698185775
Professional Enrollment ID
I20250628000186
Address ID
FL333092180FT6750XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for ANDREA MARIE BAXTER

  • 1401 RIVERPLACE BLVD APT 1813

    JACKSONVILLE, FL 322079098

    Phone: (904) 742-6741

    Type: Mailing

  • 1625 THACKER AVE

    JACKSONVILLE, FL 322078664

    Phone: (904) 742-6741

    Type: Mailing

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: 2025-06-28

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
I20250628000186IMental Health CounselorFLTBD

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 32207)

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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: 5698185775View full group profile
NameSpecialtyState
Psychiatry, Geriatric PsychiatryFL
Clinical Social WorkerNY
Nurse PractitionerFL
Nurse PractitionerTX
Clinical PsychologistCA
Clinical PsychologistFL
Mental Health CounselorFL
Mental Health CounselorFL
Clinical PsychologistFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

Can I verify ANDREA MARIE BAXTER with an NPI only?
You can start verification with NPI 1083228456 for ANDREA MARIE BAXTER, then check state licensing separately.
Is ANDREA MARIE BAXTER listed as active for patients and plans?
The listing shows ANDREA MARIE BAXTER as active in the NPI system.
What healthcare role does ANDREA MARIE BAXTER hold?
Scheduling teams often label ANDREA MARIE BAXTER under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is ANDREA MARIE BAXTER based?
ANDREA MARIE BAXTER is tied to Jacksonville, Florida in the data we show; additional addresses may exist on the full record.
Is the information about ANDREA MARIE BAXTER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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