Mark Baldwin, LPC-MHSP
Counselor, Professional in Jackson, TN. Individual provider (NPI-1).
NPI number1407069321
StatusActive
Last updated in NPPESMar 3, 2015
Details
- NPI
- 1407069321
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Baldwin
- Credential
- LPC-MHSP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2007
- Last updated
- Mar 3, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1878 | TN | Yes |
| 101YM0800X | Counselor, Mental Health | 1878 | TN |
Practice location
575 S Royal StSuite 24
Jackson, TN 38301-7307
Phone 731-467-0504
Mailing address
75 Holiday DrJackson, TN 38305-3716
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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