Thomas K Ballentine, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2005473 Issued in OH

Practice address

6161 Busch Blvd Ste 290
Columbus, OH 43229-2587

Phone

(614) 987-5003

Fax

(614) 987-5041

NPI assigned

May 29, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Next Step Recovery CenterGroup PAC ID 3072038918, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Next Step Recovery Center

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1003406034

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Integrated Youth Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
  • NPI 1710907597
  NPD (past)
• Integrated Youth Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beavercreek, OH
  • NPI 1518138031
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1104084763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 HUMBLE DR",
            "city": "DE GRAFF",
            "state": "OH",
            "postal_code": "433189654",
            "telephone_number": "937-524-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 290",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292587",
            "telephone_number": "614-987-5003",
            "fax_number": "614-987-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLENTINE",
        "first_name": "THOMAS",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "030102",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2005473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Michael Ballay, PT, DPT
• Alexandra Michelle Balle, SWT
• Ralph R Ballenger, MD
• Taylor Ballenger, M.D.
• Rachel Ballentine
• Stephanie L. Balliet
• Julie Ballinger-James, MOTR/L
• Andre Ballinger, LMT
• Vanessa Ballinger, SP
• Amira M Ballouz

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.