Itzel Ceballos Ballew

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

79127 Issued in CA

Practice address

2351 Cardinal LN
Annex B
San Diego, CA 92123-3743

Phone

(619) 573-2227

NPI assigned

Jan 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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 Feb 15, 2024 through Feb 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Well-Mamas Family Counseling, a Professional Corporation

  dba Well-Mamas Counseling

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1942863030
  NPD (past)

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

{
    "created_epoch": "1357430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1629315015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CARDINAL LN",
            "address_2": "ANNEX B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233743",
            "telephone_number": "619-573-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 CARDINAL LN",
            "address_2": "ANNEX B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233743",
            "telephone_number": "619-573-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEW",
        "first_name": "ITZEL",
        "middle_name": "CEBALLOS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-06",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "79127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ballesteros
• Maria Rebecca Ballesteros
• Nichole Ballesteros
• Gina Ballestreos
• Brittany Erin Ballew, MD, MS
• Megan Ballew
• Justin Balleza
• Justin Balli
• Larry Clay Ballinger, DPM
• Nicole Ballinghoff

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.