Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Janessa Baccus

Individual provider Peer Specialist · NPI 1629833280

Janessa Baccus is a Peer Specialist in Locust Grove, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

210 Bryan
Locust Grove, OK 74352-5154
Phone: (918) 824-5953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1629833280
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 13, 2024
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address210 Bryan, Locust Grove, OK 74352-5154

Other providers in Locust Grove