CCN Medical Services LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CCN MEDICAL SERVICES LLC

Practice address

1901 Babcock Rd
Suite 102
San Antonio, TX 78229-4554

Phone

(210) 608-6213

Fax

(210) 519-2939

NPI assigned

Nov 11, 2013

Organization subpart

No

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

Authorized official

Name

Charlotte D Ballard, NP

Title

President

Phone

(210) 600-4105

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Renee Hoberg, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1003122532
  NPD (past)

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1518396589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781630320",
            "telephone_number": "210-608-6213",
            "fax_number": "210-519-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BABCOCK RD",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294554",
            "telephone_number": "210-608-6213",
            "fax_number": "210-519-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCN MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2025-09-11",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-600-4105",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caleb Ceasor
• Christopher Montrell Ceasor, OTR/L

• Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.