Karyssa Ballesteros

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

3619 N Mission Rd
Lincoln Heights, CA 90031-3136

Phone

(213) 721-0010

NPI assigned

Feb 16, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2025.

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1245095470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 N MISSION RD",
            "city": "LINCOLN HEIGHTS",
            "state": "CA",
            "postal_code": "900313136",
            "telephone_number": "213-721-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 N MISSION RD",
            "city": "LINCOLN HEIGHTS",
            "state": "CA",
            "postal_code": "900313136",
            "telephone_number": "213-721-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4445 Burns Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900292702",
            "country_code": "US",
            "telephone_number": "323-691-2877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "KARYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Anne Allen, AMFT
• Lauren Amarni
• Edgar Adam Archila
• Tony Arellano
• Michael James Aviles
• Brian Darnell Berkley Sr.
• Amber Kathryn Blankenbiller, LVN
• Santiago Burgos
• Gregory Burke
• Javier Alejandro Callejas

• All providers in Lincoln Heights, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.