Individual provider Active NPI

Kathryn Jeanette Ballinger, MSW, LMSW, CAC-II

  • Clinical Social Worker
  • Mt Pleasant, MI
National Provider Identifier
1235148347
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9801084226 Issued in MI
Practice address
218 S Washington St
Mt Pleasant, MI 48858-2409
Phone
(989) 779-9449
Fax
(989) 779-2922
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

218 S Washington St
Mt Pleasant, MI 48858-2514
Phone (989) 779-9449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20051202000192 MI Practitioner - Clinical Social Worker 5991725392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2-00728MIMDAddiction (Substance Use Disorder) Counselor
9801084226MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Solutions Counseling Center, PC Current Accepting new patients
Addiction Solutions Counseling Addiction (Substance Use Disorder) CurrentSince Sep 1, 2005 Accepting new patients

Locations

114 E Superior St
Alma, MI 48801
Phone (989) 968-4048

218 S Washington St
Mt Pleasant, MI 48858
Phone (989) 330-2800

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2-00728 MI
Clinical Social Worker 1041C0700X 9801084226 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

218 S Washington St
Mt Pleasant, MI 48858-2409

Mailing address

218 S Washington St
Mt Pleasant, MI 48858-2409
Phone (989) 779-9449

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1705289MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2007.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1235148347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S WASHINGTON ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582409",
            "telephone_number": "989-779-9449",
            "fax_number": "989-779-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S WASHINGTON ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582409",
            "telephone_number": "989-779-9449",
            "fax_number": "989-779-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER",
        "first_name": "KATHRYN",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "MSW, LMSW, CAC-II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-00728",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "9801084226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705289",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.