Individual provider Active NPI

Christie Sue Ballard-Frazine, MA LMFT LLP

  • Marriage & Family Therapist
  • Sturgis, MI
National Provider Identifier
1629040928
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006166 Issued in MI
Practice address
107 Pleasant St
Sturgis, MI 49091-1760
Phone
(269) 221-2488
NPI assigned
Feb 2, 2006
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006166 MI Primary

Addresses

Primary practice location

107 Pleasant St
Sturgis, MI 49091-1760

Mailing address

107 Pleasant St
Sturgis, MI 49091-1760
Phone (126) 922-1248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703002373 MI Practitioner - Marriage and Family Therapist 2769992429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4101006166MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Center of Southwest Michigan Marriage & Family Therapist CurrentSince Feb 8, 2021 Accepting new patients

Locations

107 Pleasant St
Sturgis, MI 49091
Phone (269) 221-2488

600 S Lakeview Ave
Ste 104
Sturgis, MI 49091
Phone (269) 210-3983

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1629040928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PLEASANT ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911760",
            "telephone_number": "126-922-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PLEASANT ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911760",
            "telephone_number": "269-221-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD-FRAZINE",
        "first_name": "CHRISTIE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MA LMFT LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, MI

Sources for this page

Verify at the official NPI Registry.