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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. STEPHEN WADE BAKER, LPC, LCPC, LMHC

Deactivated Sole Proprietor

MR. STEPHEN WADE BAKER, LPC, LCPC, LMHC is a Professional Counselor healthcare provider located in MARTHASVILLE, Missouri. NPI 1619412665 is deactivated in the NPPES registry. Verify at CMS.

Professional Counselor · MARTHASVILLE, MO

This NPI has been deactivated. The record was deactivated on October 10, 2025. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1619412665
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2016 (8.7808219178082 yrs)
Last Updated
Jan 9, 2026
Deactivated
Oct 10, 2025
Licenses
10805 (OK)
39005428A (IN)
9458 (LA)
180.017657 (IL)
C11112 (OR)
Sole Proprietor
Yes

Practice Information

Address
619 E GRAY FRIAR
MARTHASVILLE, MO, 633571503
Browse MO providers · Browse ZIP 63357
Phone
3142249349
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in MARTHASVILLE, MO

Name Credential NPI
MR. ANTHONY THOMAS BALISTRIERI L.P.C. 1962555979
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.