Mark Charles Ballard, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0500040 Issued in OH

Practice address

7317 Portage St NW
Massillon, OH 44646-7827

Phone

(330) 966-1620

Fax

(330) 966-9348

NPI assigned

Apr 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/cchoo/r4/

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.

• Christian Children'S Home of Ohio

  • Adolescent and Children Mental Health Clinic/Center
  • Wooster, OH
  • NPI 1588694590
  NPD (past)

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1174848253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446910765",
            "telephone_number": "330-345-7949",
            "fax_number": "330-345-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 PORTAGE ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467827",
            "telephone_number": "330-966-1620",
            "fax_number": "330-966-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0500040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Rehabilitation Services,Inc
• Christina Elizabeth Baker, PA-C
• Jeffrey D. Baker, CDCA
• Katelyn Joy Baker
• Christa Balder, APRN
• Baltzly West Incorporated
• Andreas Juerg Baltzly, DDS
• Gawaine J Banks, PH.D.
• Angela Marie Barber, O.D.
• Renette Bardin, CRNA

• Professional Counselor in Massillon, OH
• Providers in Massillon, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.