Erin Ballard, LMFT
Individual provider Active NPI Marriage & Family Therapist · Cary, NC
NPI 1124383047 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1124383047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1572 (NC)
- Practice address
- 1513 Walnut St Ste 215
Cary, NC 27511-5900 - Phone
- (919) 909-1230
- NPI assigned
- Jul 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1572 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions & Wellness Center | Marriage & Family Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Marriage & Family Therapist | 106H00000X | 1572 | NC | Yes |
Addresses
Primary practice location
1513 Walnut St Ste 215
Cary, NC 27511-5900
Mailing address
1513 Walnut St Ste 215
Cary, NC 27511-5900
Phone (919) 348-9396
Other providers in Cary, NC
- Ricardo Guillermo Baler
- Kimberly Elizabeth Ball
- John Frederick Ballam
- Alyssa Brianne Ballard
- Colby Ballard
- Allison Coleman Ballew
- John Rhey Banag
- Jeanine Sammons Bandini
- Sheela Bangalore
- Demaris Banister
All providers in Cary, NC · Marriage & Family Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.