Active NPI
Judy Balber, LPC
- Counselor
- Dallas, TX
National Provider Identifier
1073700589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 17683
- Practice address
- 4445 Alpha Rd
Suite 105 - a
Dallas, TX 75244-4507 - Phone
- (214) 802-4633
- NPI assigned
- Sep 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 17683 | TX | Primary |
Addresses
Primary practice location
4445 Alpha Rd
Suite 105 - a
Dallas, TX 75244-4507
Mailing address
PO Box 118673
Carrollton, TX 75011-8673
Phone (214) 802-4633
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 |
|---|---|---|---|
| 17683 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1073700589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 118673",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750118673",
"telephone_number": "214-802-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 ALPHA RD",
"address_2": "SUITE 105 - A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444507",
"telephone_number": "214-802-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBER",
"first_name": "JUDY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-28",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "17683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.