Individual provider Active NPI

Melissa Ann Ball, BS, MSED, NCC, LMCH

  • Counselor
  • Olean, NY
National Provider Identifier
1679757363
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
784 Main St
Olean, NY 14760-1548
Phone
(716) 372-3550
Fax
(716) 372-3555
NPI assigned
Dec 18, 2007
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

784 Main St
Olean, NY 14760-1548

Mailing address

784 Main St
Olean, NY 14760-1548
Phone (716) 372-3550

Other names 1

  • Melissa Korzeniewski Former name

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
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Today Services for Psychology Et Al PLLC CurrentSince Oct 11, 2020 Accepting new patients
Rehabilitation Today Services for Psychology Et Al PLLC PastSince Oct 11, 2020 Accepting new patients

Locations

784 Main St
Olean, NY 14760
Phone (716) 372-2808

Organizations & group practices 2

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": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1679757363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601548",
            "telephone_number": "716-372-3550",
            "fax_number": "716-372-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601548",
            "telephone_number": "716-372-3550",
            "fax_number": "716-372-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "BS, MSED, NCC, LMCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KORZENIEWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.