Individual provider Active NPI

Monica Ballard-Booth, MA, LSW

  • Clinical Psychologist
  • Madison, WV
National Provider Identifier
1083167944
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1135 Issued in WV
Practice address
331 State St
Suite 300
Madison, WV 25130-1367
Phone
(304) 369-5283
Fax
(304) 369-4800
NPI assigned
Jul 27, 2016
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1135 WV Primary
Social Worker 104100000X AP00941739 WV

Addresses

Primary practice location

331 State St
Suite 300
Madison, WV 25130-1367

Mailing address

331 State St
Suite 300
Madison, WV 25130-1367
Phone (304) 369-5283

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1135WVMDClinical Psychologist
AP00941739WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Interventions, Inc. Current Accepting new patients

Locations

331 State St
Ste 300
Madison, WV 25130
Phone (304) 369-3972

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, 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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1083167944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 STATE ST",
            "address_2": "SUITE 300",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301367",
            "telephone_number": "304-369-5283",
            "fax_number": "304-369-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 STATE ST",
            "address_2": "SUITE 300",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301367",
            "telephone_number": "304-369-5283",
            "fax_number": "304-369-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD-BOOTH",
        "first_name": "MONICA",
        "name_prefix": "Ms.",
        "credential": "MA, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1135",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00941739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.