Individual provider Active NPI

Kimberly Ballein, LMFT

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1528137189
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT10021 Issued in AZ
Practice address
7434 E Stetson Dr
Suite 160
Scottsdale, AZ 85251-3525
Phone
(480) 994-8477
Fax
(480) 994-8083
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LMFT10021 AZ Primary

Addresses

Primary practice location

7434 E Stetson Dr
Suite 160
Scottsdale, AZ 85251-3525

Mailing address

2017 N 7TH St
Phoenix, AZ 85006-2102
Phone (602) 452-4684

Other identifiers 1

IdentifierTypeStateIssuer
LMFT10021OtherAZTHERAPIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 1, 2024 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT10021AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528137189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062102",
            "telephone_number": "602-452-4684",
            "fax_number": "602-358-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 E STETSON DR",
            "address_2": "SUITE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513525",
            "telephone_number": "480-994-8477",
            "fax_number": "480-994-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEIN",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LMFT10021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST",
            "identifier": "LMFT10021",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.