Shundarrius Lamon Ballard

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

626 E Jefferson Ave
Bastrop, LA 71220-4619

Phone

(318) 239-2325

Fax

(318) 239-2327

NPI assigned

Mar 29, 2023

Last updated

Mar 29, 2023By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Choice Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bastrop, LA
  • NPI 1558770867
  NPD
• Guidance for Behavioral Health, LLC

  dba Guidance for Behavioral Health

  • Community/Behavioral Health Agency
  • Monroe, LA
  • NPI 1144742248
  NPD
• Guidance LLC

  • Case Management Agency
  • Monroe, LA
  • NPI 1619431715
  NPD (past)

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1841994100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 STUBBS AVE STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015631",
            "telephone_number": "318-582-5633",
            "fax_number": "318-562-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E JEFFERSON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204619",
            "telephone_number": "318-239-2325",
            "fax_number": "318-239-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 Stubbs Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015631",
            "country_code": "US",
            "telephone_number": "318-582-5633",
            "fax_number": "318-562-5646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "SHUNDARRIUS",
        "middle_name": "LAMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• At & TC Consultation Services, PLLC
• Jessica S. Auston-Popo, MS, LPC
• Kelsey Brianna Bader, RN
• Barbara Lynette Bailey
• Rose-Marie Baker, LCSW
• Tatyana Barnes-Davis
• Leslye Sherrill Barnes, OT
• Jessica Nicole Bass
• Bastrop Chiropractic Spine & Injury Center
• Bastrop Pediatric Day Health Center, LLC

• Case Manager/Care Coordinator in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.