Individual provider Active NPI

Richard G Ballard, D.MIN., LPC, NCC

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1831533447
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6268 Issued in SC
Practice address
3710 Augusta Rd
C/O Our Lady of the Rosary Church
Greenville, SC 29605-1335
Phone
(864) 422-1648
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6268 SC Primary

Addresses

Primary practice location

3710 Augusta Rd
C/O Our Lady of the Rosary Church
Greenville, SC 29605-1335

Mailing address

3710 Augusta Rd
C/O Our Lady of the Rosary Church
Greenville, SC 29605-1335
Phone (864) 422-1648

Other identifiers 1

IdentifierTypeStateIssuer
6268OtherSCBOARD OF EXAMINERS FOR LICENSURE OF PROFESSIONAL COUNSELORS

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

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1831533447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 AUGUSTA RD",
            "address_2": "C/O OUR LADY OF THE ROSARY CHURCH",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051335",
            "telephone_number": "864-422-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 AUGUSTA RD",
            "address_2": "C/O OUR LADY OF THE ROSARY CHURCH",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051335",
            "telephone_number": "864-422-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.MIN., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS FOR LICENSURE OF PROFESSIONAL COUNSELORS",
            "identifier": "6268",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.