Individual provider Active NPI

Patricia Paronett-Ballard, MACC, LPC

  • Professional Counselor
  • Cornelius, NC
National Provider Identifier
1497109359
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A12134 Issued in NC
Practice address
19501 W Catawba Ave Ste 290
Cornelius, NC 28031-4017
Phone
(704) 883-2704
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A12134 NC Primary

Addresses

Primary practice location

19501 W Catawba Ave Ste 290
Cornelius, NC 28031-4017

Mailing address

523 Margaret Dr
Statesville, NC 28677-6042
Phone (704) 873-2704

Other practice location 1

1210 Davie Ave
Statesville, NC 28677-3512
Phone (704) 883-2704

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

LicenseStateTypeSpecialty
A12134NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
After the Storm CurrentSince Jul 12, 2020 Accepting new patients

Locations

1210 Davie Ave
Statesville, NC 28677
Phone (704) 437-1079

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1497109359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 MARGARET DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286776042",
            "telephone_number": "704-873-2704",
            "fax_number": "704-498-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19501 W CATAWBA AVE STE 290",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314017",
            "telephone_number": "704-883-2704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Davie Ave",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773512",
            "country_code": "US",
            "telephone_number": "704-883-2704",
            "fax_number": "704-498-4078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARONETT-BALLARD",
        "first_name": "PATRICIA",
        "credential": "MACC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.