Individual provider Active NPI

Ann Tonette Ball, LMFT, CSAC

  • Marriage & Family Therapist
  • Eau Claire, WI
National Provider Identifier
1205105350
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
680-124 Issued in WI
Practice address
2004 Highland Ave
Suite N
Eau Claire, WI 54701-4400
Phone
(715) 835-5915
Fax
(715) 835-8112
NPI assigned
Dec 19, 2011
Last updated
Dec 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11439-132 WI
Marriage & Family Therapist 106H00000X 680-124 WI Primary

Addresses

Primary practice location

2004 Highland Ave
Suite N
Eau Claire, WI 54701-4400

Mailing address

2004 Highland Ave
Suite N
Eau Claire, WI 54701-4400
Phone (715) 835-5915

Other names 1

  • Ms. Ann Tonette Reali Former name

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

LicenseStateTypeSpecialty
11439-132WIMDAddiction (Substance Use Disorder) Counselor
680-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Service Society of Wisconsin Past Accepting new patients

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1205105350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HIGHLAND AVE",
            "address_2": "SUITE N",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014400",
            "telephone_number": "715-835-5915",
            "fax_number": "715-835-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HIGHLAND AVE",
            "address_2": "SUITE N",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014400",
            "telephone_number": "715-835-5915",
            "fax_number": "715-835-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "ANN",
        "middle_name": "TONETTE",
        "name_prefix": "Ms.",
        "credential": "LMFT, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11439-132",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "680-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "REALI",
            "middle_name": "TONETTE",
            "prefix": "MS.",
            "credential": "LMFT, CSAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.