Katherine Marie Ballenger
Individual provider Active NPI Social Worker · Waterloo, IA
NPI 1891374971 · NPPES record last updated Apr 18, 2022
Key facts
- NPI
- 1891374971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 107984 (IA)
- Practice address
- 1420 W Donald St
Waterloo, IA 50703-1624 - Phone
- (319) 232-4673
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Olive Branch Counseling Services PLLC
Practice addresses (Care Compare)
604 Clay St
Cedar Falls, IA 50613-2971
Phone (319) 486-1845
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240605002380 | IA | Practitioner - Mental Health Counselor | 0143762120 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Branch Counseling Services PLLC | Current |
Accepting new patients | |
| Hope Tree Counseling Services Inc. | Current |
Accepting new patients | |
| Robert Boezinger, PLLC | Past |
Accepting new patients |
Locations
604 Clay St
Cedar Falls, IA 50613
Phone (319) 536-5072
215 Franklin St
Cedar Falls, IA 50613
Phone (319) 214-5626
1420 W Donald St
Waterloo, IA 50703
Phone (319) 232-4672
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 107984 | IA | Yes |
Addresses
Primary practice location
1420 W Donald St
Waterloo, IA 50703-1624
Mailing address
1420 W Donald St
Waterloo, IA 50703-1624
Phone (319) 232-4673
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2022. 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.