Active NPI
Rachel Anne Balles, L.C.P.C
- Mental Health Counselor
- Plainfield, IL
National Provider Identifier
1427325463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.007973
- Practice address
- 15003 S Route 59
Plainfield, IL 60544-2730 - Phone
- (630) 519-1010
- NPI assigned
- Nov 18, 2011
- Last updated
- Apr 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.007973 | IL | Primary |
Addresses
Primary practice location
15003 S Route 59
Plainfield, IL 60544-2730
Mailing address
43W398 Thornapple Tree Rd
Sugar Grove, IL 60554-9759
Phone (630) 567-5447
Other practice location 1
1212 Larkin Ave
Elgin, IL 60123-6042
Phone (847) 695-5656
Other practice location 2
64 Main St
Oswego, IL 60543-9893
Phone (630) 519-1010
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 |
|---|---|---|---|
| 180.007973 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oswego Wellness, Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Oswego, IL
- NPI 1912373069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1427325463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43W398 THORNAPPLE TREE RD",
"city": "SUGAR GROVE",
"state": "IL",
"postal_code": "605549759",
"telephone_number": "630-567-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15003 S ROUTE 59",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442730",
"telephone_number": "630-519-1010"
}
],
"practiceLocations": [
{
"address_1": "1212 Larkin Ave",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601236042",
"country_code": "US",
"telephone_number": "847-695-5656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64 Main St",
"address_purpose": "LOCATION",
"city": "Oswego",
"state": "IL",
"postal_code": "605439893",
"country_code": "US",
"telephone_number": "630-519-1010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALLES",
"first_name": "RACHEL",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "L.C.P.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.007973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.