Gloria Ball, MS
Individual provider Active NPI Mental Health Counselor · Canton, MS
NPI 1851977185 · NPPES record last updated Mar 18, 2021
Key facts
- NPI
- 1851977185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 103 Southlake Cir
Canton, MS 39046-5369 - Phone
- (601) 859-8371
- NPI assigned
- Mar 18, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1905 Mission
Suite 66
Vicksburg, MS 39180
1905 Mission
Suite 66
Vicksburg, MS 39180-3711
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
103 Southlake Cir
Canton, MS 39046-5369
Mailing address
103 Southlake Cir
Canton, MS 39046-5369
Phone (601) 859-8371
Other providers in Canton, MS
- Ashley D. Hollowell, DMD
- Janice Bacon
- Jessica Bagwell Walker
- Terald Otis Bailey
- Tara Bain
- Kathy A Ball
- Robyn Baltimore
- Baptist Homes Inc
- Baptist Homes Inc
- Baptist Homes, Inc.
All providers in Canton, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.