Dino Dominic Balliviero, LPC, CTTS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2732 Issued in LA

Practice address

71338 Hwy. 21
Suite 101
Covington, LA 70433-7162

Phone

(985) 624-2942

Fax

(985) 231-1373

NPI assigned

Feb 15, 2009

Last updated

Jun 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 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.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment Care Compare group NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  dba Ochsner Clinic - Main Campus Satellie - Covington Cath Lab

  • General Practice Physician
  • Covington, LA
  • NPI 1932432945
  NPD

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592611200000",
    "number": "1386883312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LEEDS ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615061",
            "telephone_number": "985-643-3669",
            "fax_number": "985-643-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71338 HWY. 21",
            "address_2": "SUITE 101",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337162",
            "telephone_number": "985-624-2942",
            "fax_number": "985-231-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLIVIERO",
        "first_name": "DINO",
        "middle_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "LPC, CTTS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-15",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "LPC2732",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Baldone, M.D.
• Rhonda R Baldone, M.D.
• Charles Balette, M.D.
• Brian Curtis Ball, MD
• Alicia Rose Ballas, CNIM
• Kevin Orlando Banegas, B.A.
• Dorothy H Banish, M.D.
• Aundi Barabino, LMSW, LCSW
• Christopher Baracco, DPT
• William T. Barfield, MD

• Professional Counselor in Covington, LA
• Providers in Covington, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.