Melanie Ann Ballein, LICDC, LSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LICDC.162486 Issued in OH

Practice address

149 Mercy Blvd
Mount Orab, OH 45154-0296

Phone

(937) 393-9720

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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.

• Scioto Paint Valley Mental Health Center

  • Multi-Specialty Clinic/Center
  • Chillicothe, OH
  • NPI 1255308136

  OH

  Medicare reassignment Care Compare group NPD
• Scioto Paint Valley Mental Health Center

  • Primary Care Clinic/Center
  • Chillicothe, OH
  • NPI 1790116747
  NPD
• Phoenix Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ironton, OH
  • NPI 1225670813

  Addiction (Substance Use Disorder)

  NPD (past)

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Scioto Paint Valley Mental Health Center 30 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

• Melanie Ann Evans Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2024.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1770080079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 WELCOME RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451336992",
            "telephone_number": "937-763-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MERCY BLVD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451540296",
            "telephone_number": "937-393-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEIN",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "credential": "LICDC, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2005190",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "EVANS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bernadette Attinger
• Amber Elizabeth Bachman
• Joseph Bachman, RPH, MS
• Kayla Elizabeth Bailey
• Kyle Bailey
• Justyne Payge Barnes
• Orion Michael Barr, RN
• Lili Ann Barski, RPH
• Valerie Lynne Bazylewicz, MD
• Jessica Beebe, DO

• All providers in Mount Orab, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.