Active NPI
Tom Lee Ball
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1063546281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00046213
- Practice address
- 9300 NE Oak View Dr
Suite B
Vancouver, WA 98662-6347 - Phone
- (360) 567-2211
- Fax
- (360) 567-2212
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00046213 | WA | Primary |
Addresses
Primary practice location
9300 NE Oak View Dr
Suite B
Vancouver, WA 98662-6347
Mailing address
9300 NE Oak View Dr
Suite B
Vancouver, WA 98662-6347
Phone (360) 567-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RC00046213 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00046213 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Community Services of Western Washington | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1558593350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063546281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 NE OAK VIEW DR",
"address_2": "SUITE B",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626347",
"telephone_number": "360-567-2211",
"fax_number": "360-567-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 NE OAK VIEW DR",
"address_2": "SUITE B",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626347",
"telephone_number": "360-567-2211",
"fax_number": "360-567-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "TOM",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00046213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RC00046213",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.