Dia Ballou

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

122 Pleasant St
Claremont, NH 03743-2679

Phone

(603) 542-5449

NPI assigned

Aug 18, 2014

Last updated

Aug 18, 2014By 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

Medicare fee-for-service enrollment

Enrolled in NH

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Central Services, Inc.Group PAC ID 0840263232, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• West Central Services, Inc.

  dba West Central Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lebanon, NH
  • NPI 1174635684
  Medicare reassignment Care Compare group NPD
• West Central Services, Inc

  • Case Manager/Care Coordinator
  • Claremont, NH
  • NPI 1013377571
  NPD (past)

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1346649142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HANOVER ST",
            "address_2": "SUITE 2",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661312",
            "telephone_number": "603-448-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PLEASANT ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432679",
            "telephone_number": "603-542-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOU",
        "first_name": "DIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuha Bajwa, PHARMD
• Erik Baker
• Suellen Tucker Balestra, MD
• Todd Balise
• William J Ballantyne, PSYD
• Bannon Pharmacy Inc
• Carl Jay Bannon
• Roy M Barnes, MD
• Juliann Barrett, D.O.
• Gwendolyn Jane Barros, MD

• Clinical Social Worker in Claremont, NH
• Providers in Claremont, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.