Barbara Sue Balliette

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5075697-6004 Issued in UT

Practice address

2319 Foothill Dr
Suite 275C
Salt Lake City, UT 84109-1489

Phone

(801) 467-1496

Fax

(801) 467-1496

NPI assigned

Mar 21, 2006

Last updated

Feb 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Barbara Balliette Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1205895042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 FOOTHILL DR",
            "address_2": "SUITE 275C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091489",
            "telephone_number": "801-467-1496",
            "fax_number": "801-467-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 FOOTHILL DR",
            "address_2": "SUITE 275C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091489",
            "telephone_number": "801-467-1496",
            "fax_number": "801-467-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLIETTE",
        "first_name": "BARBARA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5075697-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BALLIETTE",
            "credential": "L.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William Ballard
• Elliot Ballato, MD
• Mariella Ballato, DPT
• Diana Ballesteros
• Magdiel Ballesteros
• Shannon Ballinger, DPT
• Carol Ann Ballou, PHD
• Nathan Balls
• Travis Balls
• Sydney Rebekah Dawson Ballstaedt, LCSW

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.