Individual provider Active NPI

Madeline Elizabeth Ball

  • Mental Health Counselor
  • Tigard, OR
National Provider Identifier
1326746215
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T1928 Issued in OR
Practice address
7340 SW Hunziker Rd Ste 215
Tigard, OR 97223-2304
Phone
(503) 778-0787
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T1984 OR
Marriage & Family Therapist 106H00000X T1928 OR
Mental Health Counselor 101YM0800X T1928 OR Primary

Addresses

Primary practice location

7340 SW Hunziker Rd Ste 215
Tigard, OR 97223-2304

Mailing address

715 SE 28TH Ave
Portland, OR 97214-3013
Phone (720) 278-8172

Other practice location 1

10580 SW McDonald St Ste 202
Tigard, OR 97224-4800
Phone (971) 242-4155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T1928ORMDMental Health Counselor
T1984ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Counseling Center, LLC Mental Health PastSince Apr 28, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1326746215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143013",
            "telephone_number": "720-278-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 SW HUNZIKER RD STE 215",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232304",
            "telephone_number": "503-778-0787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10580 SW McDonald St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972244800",
            "country_code": "US",
            "telephone_number": "971-242-4155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "MADELINE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1984",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1928",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.