Stacey Marie Coon-Ballard, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801095792 Issued in MI

Practice address

1519 N Main St Ste C
Three Rivers, MI 49093-1377

Phone

(269) 273-2024

NPI assigned

Sep 30, 2013

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Bronson Methodist Hospital

  dba Bronson Medical Group

  • Hospitalist Physician
  • Kalamazoo, MI
  • NPI 1417961137
  NPD
• Christopher L. Barnes, PLLC

  • Clinical Psychologist
  • Three Rivers, MI
  • NPI 1891036992
  NPD
• Transitions Wellness Center LLC

  • Psychologist
  • Three Rivers, MI
  • NPI 1215155403
  NPD

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1902233430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 N MAIN ST STE C",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931377",
            "telephone_number": "269-273-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 N MAIN ST STE C",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931377",
            "telephone_number": "269-273-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON-BALLARD",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Raye Combs
• Eric Thomas Comer, PA-C
• Community Healing Center (Community Healing Center Three Rivers)
• David Conner, P.A.
• Margaret A Cook
• Nicole Rochelle Corfield
• Chloe Nicole Cornwell
• Counseling and Psychological Services of Three Rivers P.C.
• Steven J Cowing, PA-C
• Sean J Crabtree, PA

• Clinical Social Worker in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.