Rita M Ballinger, CADC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Tahlequah, OK

NPI 1497950752 · NPPES record last updated Aug 2, 2013

Key facts

NPI
1497950752
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
281 (OK)
Practice address
109 W 2ND St
Tahlequah, OK 74464-4723
Phone
(918) 431-0418
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
281OKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Ridge Institute Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 281 OK Yes

Addresses

Primary practice location

109 W 2ND St
Tahlequah, OK 74464-4723

Mailing address

2512 Gibson St
Muskogee, OK 74403-2711
Phone (918) 441-9110

Other providers in Tahlequah, OK

All providers in Tahlequah, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.