Individual provider Active NPI

David Michael Ball, LMFT

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1780874438
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0882 Issued in OR
Practice address
1355 Oak St Ste 101
Eugene, OR 97401-3566
Phone
(541) 342-8208
Fax
(541) 242-2200
NPI assigned
Jul 30, 2007
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0882 OR Primary

Addresses

Primary practice location

1355 Oak St Ste 101
Eugene, OR 97401-3566

Mailing address

272 NW Medical Loop
Suite E
Roseburg, OR 97471-5597
Phone (541) 440-3532

Other practice location 1

2700 NW Stewart Pkwy
Annex B
Roseburg, OR 97471-1281
Phone (541) 440-3532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20240828005307 OR Practitioner - Marriage and Family Therapist 0749729184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

66 Club Rd
Suite 120
Eugene, OR 97401-2439
Phone (541) 393-5983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T0882ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Marriage & Family Therapist CurrentSince Feb 19, 2025 Accepting new patients
Western Psychological and Counseling Services LLC Marriage & Family Therapist CurrentSince Feb 19, 2025 Accepting new patients

Locations

44 Club Rd
Ste 200
Eugene, OR 97401
Phone (254) 393-5983

66 Club Rd
Ste 120
Eugene, OR 97401
Phone (541) 345-2800

66 Club Rd
Ste 210
Eugene, OR 97401
Phone (541) 343-2569

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1780874438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 NW MEDICAL LOOP",
            "address_2": "SUITE E",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715597",
            "telephone_number": "541-440-3532",
            "fax_number": "541-440-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 OAK ST STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013566",
            "telephone_number": "541-342-8208",
            "fax_number": "541-242-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 NW Stewart Pkwy",
            "address_2": "Annex B",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974711281",
            "country_code": "US",
            "telephone_number": "541-440-3532",
            "fax_number": "541-440-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.