Elizabeth Ballenski, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0013744 Issued in CO

Practice address

2020 Caribou Dr Ste 201
Fort Collins, CO 80525-4352

Phone

(970) 282-8282

NPI assigned

Oct 22, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ellie Ballenski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• La Luna Center, LLC

  • Group Psychotherapy Psychologist
  • Fort Collins, CO
  • NPI 1336735950
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033660220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CARIBOU DR STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254352",
            "telephone_number": "970-282-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CARIBOU DR STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254352",
            "telephone_number": "970-282-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E 29th St",
            "address_2": "Suite 245",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805387804",
            "country_code": "US",
            "telephone_number": "970-213-5763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLENSKI",
        "first_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "BALLENSKI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Hardy Ball
• Jodie Olga Ball, LCSW, LAC
• Brittany Kaye Ballard, DMD
• Elizabeth A. Ballard, M.D.
• Theadora Ballard
• Kayla Ballou
• Karen Kay Balog, CMT
• Cassandra Balon, M.D.
• Madison Balue, BCBA
• Jeremy Bamford, IOMT

• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.