Charles Ball, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0126121 Issued in NM

Practice address

91 Crestmont Rd
Bangor, ME 04401-5811

Phone

(505) 819-7678

NPI assigned

Sep 28, 2009

Last updated

Jan 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1083948756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CRESTMONT RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015811",
            "telephone_number": "505-819-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CRESTMONT RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015811",
            "telephone_number": "505-819-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "CHARLES",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-28",
        "last_updated": "2023-01-08",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC4970",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0126121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda E Baker, LCSW
• Amanda R Baker, M.ED., LCPC
• Becca Baker, RN
• Pamela J Baker, LMSW-CC
• James G Baldwin, D.O.
• Loren Y Ballestas, DO
• Benjamin R. Bamford, MD
• Jane Bamford, COTA
• Katherine Bandstra
• Bangor Area Homeless Shelter

• Mental Health Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2023; 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.