Individual provider Active NPI

Teresa Greene Ballard, LPC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1508958844
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3311 Issued in OK
Practice address
2220 N Classen Blvd Ste E
Oklahoma City, OK 73106-5810
Phone
(405) 528-1748
Fax
(405) 528-1802
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3311 OK Primary

Addresses

Primary practice location

2220 N Classen Blvd Ste E
Oklahoma City, OK 73106-5810

Mailing address

109 S Lexington Way
Edmond, OK 73012-4221
Phone (405) 615-5814

Other identifiers 1

IdentifierTypeStateIssuer
0311OtherOKSTATE OF OKLAHOMA

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3311OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Focis Counseling Services, Inc. CurrentSince Apr 24, 2007 Accepting new patients
T. Greene Management LLC Mental Health Past Accepting new patients

Locations

2220 N Classen Blvd
Ste E
Oklahoma City, OK 73106
Phone (405) 528-0087

3000 United Founders Blvd
Ste 103
Oklahoma City, OK 73112
Phone (405) 204-8482

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1508958844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S LEXINGTON WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124221",
            "telephone_number": "405-615-5814",
            "fax_number": "405-528-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N CLASSEN BLVD STE E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065810",
            "telephone_number": "405-528-1748",
            "fax_number": "405-528-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "TERESA",
        "middle_name": "GREENE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OKLAHOMA",
            "identifier": "0311",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.