Christie Sue Ballard-Frazine, MA LMFT LLP
Individual provider Active NPI Marriage & Family Therapist · Sturgis, MI
NPI 1629040928 · NPPES record last updated Apr 18, 2022
Key facts
- NPI
- 1629040928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 4101006166 (MI)
- Practice address
- 107 Pleasant St
Sturgis, MI 49091-1760 - Phone
- (269) 221-2488
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250703002373 | MI | Practitioner - Marriage and Family Therapist | 2769992429 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Center of Southwest Michigan | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
600 S Lakeview Ave
Ste 104
Sturgis, MI 49091
Phone (269) 210-3983
107 Pleasant St
Sturgis, MI 49091
Phone (269) 221-2488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101006166 | MI | Yes |
Addresses
Primary practice location
107 Pleasant St
Sturgis, MI 49091-1760
Mailing address
107 Pleasant St
Sturgis, MI 49091-1760
Phone (126) 922-1248
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P108958190 | Other | MI | BCBS |
| 1708146 | Medicaid | MI |
Other providers in Sturgis, MI
- Heather Anderson
- Ascension Medical Group Promed
- Dante Avila
- Youhanna Aziz
- Hamad Badru
- Linda Ann Barnhardt
- Kioshi M Barrett
- Jamie Colleen Bartman
- Jeffrey Kent Bastin
- Catherine A Beach
All providers in Sturgis, MI · Marriage & Family Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.