Active NPI
Laura Ann Balliet, LPC
- Counselor
- Medina, OH
National Provider Identifier
1124284807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CO501211
- Practice address
- 230 S Court St
Suite 5
Medina, OH 44256-2275 - Phone
- (330) 723-7977
- NPI assigned
- Aug 1, 2008
- 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 | CO501211 | OH | Primary |
Addresses
Primary practice location
230 S Court St
Suite 5
Medina, OH 44256-2275
Mailing address
622 Dominic Dr
Cuyahoga Falls, OH 44223-3800
Phone (330) 928-8519
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 |
|---|---|---|---|
| CO501211 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Borchert Dba Avenues of Counseling | Past | Accepting new patients | |
| Avenues of Counseling and Mediation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Medina, OH
- NPI 1225253107
-
- Mental Health Counselor
- Medina, OH
- NPI 1750581179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1124284807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 DOMINIC DR",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442233800",
"telephone_number": "330-928-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S COURT ST",
"address_2": "SUITE 5",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562275",
"telephone_number": "330-723-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLIET",
"first_name": "LAURA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-01",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "CO501211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.