Individual provider Active NPI

Carly Marie Ball

  • Counselor
  • South Point, OH
National Provider Identifier
1144966805
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2304613-TRNE Issued in OH
Practice address
178 Private Road 19423
South Point, OH 45680-8831
Phone
(740) 451-0741
NPI assigned
May 6, 2022
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2304613-TRNE OH Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

178 Private Road 19423
South Point, OH 45680-8831

Mailing address

1404 Race St
Cincinnati, OH 45202-7297
Phone (513) 581-1531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20250902004340 WV Practitioner - Mental Health Counselor 9739680430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graceway Counseling Services LLCGroup PAC ID 2264894963, 7 clinicians

Practice addresses (Care Compare)

744 4TH Ave
Suite 2
Huntington, WV 25701-1541
Phone (304) 691-0873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2304613-TRNEOHMDCounselor
3095WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Graceway Counseling Services LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

744 4th Ave
Ste 2
Huntington, WV 25701
Phone (304) 691-0873

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144966805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 RACE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452027297",
            "telephone_number": "513-581-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 PRIVATE ROAD 19423",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808831",
            "telephone_number": "740-451-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "CARLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2304613-TRNE",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Point, OH

Sources for this page

Verify at the official NPI Registry.