Colleen M Ballerini, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9292 Issued in MA

Practice address

3 Dundee Park Dr
Suite 203
Andover, MA 01810-3751

Phone

(978) 475-3590

NPI assigned

Aug 5, 2015

Last updated

Aug 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: colleen.ballerini.p1@direct.elementcare.nextgenshare.com

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.

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  • NPI 1760909279

  MA

  Medicare reassignment NPD
• General Psychological Associates

  • Counseling Psychologist
  • Andover, MA
  • NPI 1700810025
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1487030029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 ROCKY BROOK RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451463",
            "telephone_number": "978-273-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DUNDEE PARK DR",
            "address_2": "SUITE 203",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103751",
            "telephone_number": "978-475-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLERINI",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balance Counseling, Consulting & Coaching, LLC
• Ashley Elizabeth Baldwin
• Diran Avedis Balekian, D.M.D., M.S.
• Alice Baljian, RN
• Cara Anne Ball, M.S., CCC-SLP
• Shelby Lynne Balukonis, MSW
• Jillian Banco, PSYD
• Emily Barbosa
• Russell S Bard Jr.
• Leya Barden

• Mental Health Counselor in Andover, MA
• Providers in Andover, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.