Individual provider Active NPI

Lori L Ball, PMHCNS/FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fishersville, VA
National Provider Identifier
1063735397
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024178103 Issued in VA
Practice address
79 N Medical Park Dr
Fishersville, VA 22939-2344
Phone
(540) 213-2525
Fax
(540) 213-2555
NPI assigned
Mar 1, 2010
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178103 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024178103 VA Primary

Addresses

Primary practice location

79 N Medical Park Dr
Fishersville, VA 22939-2344

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 213-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100414000426 TN Practitioner - Nurse Practitioner 0244367738 Practice locations: Lebanon, TN
I20191126000180 VA Practitioner - Nurse Practitioner 0244367738 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Light Counseling, Inc.Group PAC ID 1052702065, 23 clinicians

Practice addresses (Care Compare)

129 Vista Centre Dr
Suite B
Forest, VA 24551-2780
Phone (434) 384-1594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12314TNMDGeneral Practice Dentistry
0024178103VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Oct 18, 2019 Accepting new patients
Light Counseling, Inc. CurrentSince Oct 15, 2024 Accepting new patients
In Harmony Wellness Ihw LLC Family CurrentSince Oct 10, 2021 Accepting new patients
Tennessee TMS Center, PLLC CurrentSince Jul 23, 2019 Accepting new patients
Hendrick Counseling Services, Inc Past Accepting new patients

Locations

1720 West End Ave
Ste 240
Nashville, TN 37203
Phone (615) 861-1000

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

16240 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-5656

16268 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-6263

1075 Light Blvd
Forest, VA 24551
Phone (832) 794-0515

129 Vista Centre Dr
Ste B
Forest, VA 24551

12000 Wyndham Lake Dr
Ste B
Glen Allen, VA 23059
Phone (804) 378-3364

4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377

20564 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 384-1591

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1063735397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-213-2525",
            "fax_number": "540-213-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 N MEDICAL PARK DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392344",
            "telephone_number": "540-213-2525",
            "fax_number": "540-213-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "LORI",
        "middle_name": "L",
        "credential": "PMHCNS/FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178103",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024178103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.