Individual provider Active NPI

Lorri Ballard, LPCC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1295105443
Registry record updated Apr 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0188661 Issued in NM
Practice address
19 Peacock Aly
Santa Fe, NM 87507-8601
Phone
(505) 927-9078
NPI assigned
Sep 30, 2015
Last updated
Apr 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0188661 NM Primary

Addresses

Primary practice location

19 Peacock Aly
Santa Fe, NM 87507-8601

Mailing address

19 Peacock Aly
Santa Fe, NM 87507-8601
Phone (505) 927-9078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240109002070 NM Practitioner - Mental Health Counselor 3072964527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 Old Pecos TRL
Suite P
Santa Fe, NM 87505-4759
Phone (505) 310-1876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0188661NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1800 Old Pecos Trl
Ste P
Santa Fe, NM 87505
Phone (505) 310-1876

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492300800000",
    "number": "1295105443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PEACOCK ALY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875078601",
            "telephone_number": "505-927-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PEACOCK ALY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875078601",
            "telephone_number": "505-927-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "LORRI",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2017-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0188661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.