NPIMap

Organization Active NPI

Kay C. Ballina (Dba) Associates in Counseling and Psychology

  • Clinical Psychologist
  • South Charleston, WV
National Provider Identifier
1407168859
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
737 Issued in WV
Legal business name
KAY C. BALLINA (DBA) ASSOCIATES IN COUNSELING AND PSYCHOLOGY
Practice address
4857 Maccorkle Ave SW
South Charleston, WV 25309-1331
Phone
(304) 766-6700
Fax
(304) 766-6118
NPI assigned
Jul 13, 2010
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Mrs. Kay Collins Ballina, M.A.NPI 1932209863
Title
Licensed Psychologist
Phone
(304) 766-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 737 WV Primary

Addresses

Primary practice location

4857 Maccorkle Ave SW
South Charleston, WV 25309-1331

Mailing address

4857 Maccorkle Ave SW
South Charleston, WV 25309-1331
Phone (304) 744-2600

Other identifiers 1

IdentifierTypeStateIssuer
1111000000MedicaidWV

National Provider Directory

National Provider Directory

Locations

4857 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 766-6700

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1407168859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091331",
            "telephone_number": "304-744-2600",
            "fax_number": "304-766-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091331",
            "telephone_number": "304-766-6700",
            "fax_number": "304-766-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY C. BALLINA (DBA) ASSOCIATES IN COUNSELING AND PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "BALLINA",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-766-6700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111000000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.