Mishale Ann Rede Ballinger, APCC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

405 Jackson Dr
Santa Rosa, CA 95409-4209

Phone

(805) 610-3200

NPI assigned

Aug 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1780297101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 GRAVENSTEIN HWY N",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722242",
            "telephone_number": "805-610-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 JACKSON DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094209",
            "telephone_number": "805-610-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER",
        "first_name": "MISHALE",
        "middle_name": "ANN REDE",
        "credential": "APCC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ballantyne
• Helen A Ballard
• Jennifer Dawn Ballard, MFT
• Julianne Theresa Ballard
• Jose Veloso Ballesteros, M.D.
• Anissa Ballwahn, BA
• Kimberly Balmorez, NP
• Julet Omega Baltonado, DO
• Irene Dalusung Baluyut, MD
• Natalia Balytsky, M.D.

• Professional Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.