Amy Ballard, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P1702249 Issued in AR

Practice address

10800 Financial Centre Pkwy
Suite 290
Little Rock, AR 72211-3552

Phone

(501) 781-2230

Fax

(888) 816-7916

NPI assigned

Jan 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Amy Ballard Therapy, PLLC

  • Counselor
  • Little Rock, AR
  • NPI 1811500606

  AR, Counselor

  Medicare reassignment NPD Authorized official
• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  NPD (past)

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1265899462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 FINANCIAL CENTRE PKWY",
            "address_2": "SUITE 290",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113552",
            "telephone_number": "501-781-2230",
            "fax_number": "888-816-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 FINANCIAL CENTRE PKWY",
            "address_2": "SUITE 290",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113552",
            "telephone_number": "501-781-2230",
            "fax_number": "888-816-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A0803022",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "P1702249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhamed Baljevic, M.D.
• Abigail Elizabeth Ball, SLP
• Ashley Nicole Ball
• Darrick James Ball, LCSW
• Robin Michele Ball, APRN
• C.E. Ballard, M.D.
• Danny Mack Ballard, CRNA
• Mallory Kay Ballard
• Mikayla Lauren Ballard, APRN
• Rebecca Ballard

• All providers in Little Rock, AR
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.