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Deactivated NPI 1235851924 Deactivated / Inactive NPI Male Practitioner

Randall Baker

Counselor • Fresno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Randall Baker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 19, 2022
NPI Deactivation Date October 25, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Randall Baker was a registered Counselor practicing in Fresno, CA. Throughout an active medical career spanning 1 years, Randall Baker provided care at the practice location at 4411 E KINGS CANYON RD # 319 until profile deactivation on 2023-10-25.

Practice Location & Contact Primary Location

Practice Address

4411 E Kings Canyon Rd # 319

Fresno, CA 937023604

Telephone 5596002382
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
615 Specialists

Practicing in Fresno, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Gabrielle Gatewood

Marriage & Family Therapist

NPI 1003281510
Jaime Herrera

Day Training/Habilitation Specialist

NPI 1003509779
Sarah Castro

Licensed Vocational Nurse

NPI 1003768698
Ismael Talavera

Licensed Psychiatric Technician

NPI 1013295427
Yer Vue

Social Worker

NPI 1013782838
Maria Rodriguez

Day Training/Habilitation Specialist

NPI 1013895770

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 25, 2023

Record deactivated on October 25, 2023

NPI Profile Active September 19, 2022

NPI status registered as active in NPPES database

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Updated Practice Location September 19, 2022

Registered at 4411 E KINGS CANYON RD # 319, FRESNO, CA 937023604 (Tel: 5596002382)

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Updated Business Mailing Address September 19, 2022

Registered at 3433 W SHAW AVE STE 102, FRESNO, CA 937113229 (Tel: 5595584051)

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Provider Name / Credentials Updated September 19, 2022

Recorded as RANDALL BAKER

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2022

Counselor

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Initial NPI Registration & Enumeration September 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235851924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2022
Last Update: September 19, 2022
Deactivation Date: October 25, 2023

Mailing Address

3433 W Shaw Ave Ste 102

Fresno, CA 937113229

Phone: 5595584051

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.