Active NPI
Kimberly D. Ball, LPC-MHSP
- Professional Counselor
- Chattanooga, TN
National Provider Identifier
1346769387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4053
- Practice address
- 7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623 - Phone
- (423) 499-9335
- NPI assigned
- Sep 11, 2017
- Last updated
- Sep 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4053 | TN | |
| Professional Counselor | 101YP2500X | 4053 | TN | Primary |
Addresses
Primary practice location
7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623
Mailing address
7244 Neville Dr
Ooltewah, TN 37363-7218
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4053 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505088000000",
"number": "1346769387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7244 NEVILLE DR",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373637218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7209 HAMILTON ACRES CIR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374218623",
"telephone_number": "423-499-9335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "KIMBERLY",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2017-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "4053",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "4053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.