Individual provider Active NPI

Dena Ballew, R-MHC

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1578953048
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH 12077 Issued in FL
Practice address
7750 Lago del Mar Dr
Apt 702
Boca Raton, FL 33433-4903
Phone
(305) 244-5419
NPI assigned
Feb 4, 2015
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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 IMH 12077 FL Primary

Addresses

Primary practice location

7750 Lago del Mar Dr
Apt 702
Boca Raton, FL 33433-4903

Mailing address

7750 Lago del Mar Dr
Apt 702
Boca Raton, FL 33433-4903
Phone (305) 244-5419

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
IMH 12077FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1578953048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 LAGO DEL MAR DR",
            "address_2": "APT 702",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334903",
            "telephone_number": "305-244-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 LAGO DEL MAR DR",
            "address_2": "APT 702",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334903",
            "telephone_number": "305-244-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEW",
        "first_name": "DENA",
        "credential": "R-MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 12077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.