Michael Rojas Balli, WA STATE SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1891049458 Issued in WA

Practice address

327 Okanogan Ave
Wenatchee, WA 98801

Phone

(509) 662-9673

Fax

(509) 662-9441

NPI assigned

Nov 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Alcohol and Drug Treatment

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wenatchee, WA
  • NPI 1780771238
  NPD (past)

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1891049458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98807",
            "telephone_number": "509-662-9673",
            "fax_number": "509-662-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 OKANOGAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-662-9673",
            "fax_number": "509-662-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLI",
        "first_name": "MICHAEL",
        "middle_name": "ROJAS",
        "name_prefix": "Mr.",
        "credential": "WA STATE SUDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO 60153767",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "1891049458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "101YA0400X - COUNSELOR - ADDICTION (SUBSTANCE USE DISORDER)",
            "identifier": "CO 60153767",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy Wayne Ball, MSW
• Marc Lee Ball, DDS
• Ballard Services, Inc.
• Charlotte D. Ballard, RNFA
• Katja Ballard, PT
• Paul Ballinger, MD
• Emily Banfield, LMHCA
• Dennis Lee Banker, D.C.
• Eric Lee Banker, D.C.
• Elissa Banuelos, RN

• Addiction (Substance Use Disorder) Counselor in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.