Diana Elaine Ballard

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9490518-3501 Issued in UT

Practice address

9071 S 1300 W Ste 210
West Jordan, UT 84088-6725

Phone

(801) 833-1291

NPI assigned

Sep 17, 2014

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Diana Elaine Johnson Former name

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Compass Counseling and Consulting

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1356669360
  Medicare reassignment NPD
• River Oak Counseling Inc

  • Clinical Social Worker
  • Murray, UT
  • NPI 1629677364
  Authorized official Same address or phone
• LDS Family Services

  dba LDS Family Services wA Seattle Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
  • NPI 1073726485
  NPD (past)

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1235531641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 W GREEN HEDGE WAY",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840844140",
            "telephone_number": "801-833-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9071 S 1300 W STE 210",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886725",
            "telephone_number": "801-833-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "DIANA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9490518-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "JOHNSON",
            "middle_name": "ELAINE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald Wayne Baker, O.D.
• Greg Baker
• Shannon Cooke Baker, M.D.
• Balanced Earth Wellness LLC
• Ximena Estela Baliero-Fuster
• Justine Marie Ballard, BCABA
• Lindsey Ballard, EMT
• Nicole Ballou
• Dawn Baltazar
• Justin James Banks, DPM, MHA

• Clinical Social Worker in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.