Stacey Balla

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

40516 Issued in ID

Practice address

190 W. Main St.
Kuna, ID 83634

Phone

(702) 582-2130

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clemens Creative Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kuna, ID
  • NPI 1366158461

  Clinical

  NPD
• Kuna Counseling Center

  • Community/Behavioral Health Agency
  • Kuna, ID
  • NPI 1568544047

  Mental Health

  NPD

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1679903199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836340203",
            "telephone_number": "702-582-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W. MAIN ST.",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "83634",
            "telephone_number": "702-582-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLA",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "40516",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Anderson, MS, CCC-SLP
• Yasser Aref
• Megan Aumeier, PA-C
• Avalon Dental PC
• Jeffrey V Ball, PA
• Dolly Anne Barnes, LCSW
• Shawn Barrow
• Alexandra E Beattie, MD
• Fawn L. Bell, RN
• Beverley Avril Bellard, LCPC

• Mental Health Counselor in Kuna, ID
• Providers in Kuna, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.