Individual provider Active NPI

Carolyn M Ball

  • Mental Health Counselor
  • Hinsdale, IL
National Provider Identifier
1972038990
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.013271 Issued in IL
Practice address
19 N Grant St Ste 2C
Hinsdale, IL 60521
Phone
(630) 580-8080
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IL
Mental Health Counselor 101YM0800X 178.013271 IL Primary

Addresses

Primary practice location

19 N Grant St Ste 2C
Hinsdale, IL 60521

Mailing address

19 N Grant St Ste 2C
Hinsdale, IL 60521-3368
Phone (630) 580-8080

Other practice location 1

19 N Grant St Ste 2C
Hinsdale, IL 60521
Phone (630) 580-8080

Other names 1

  • Carolyn Ball Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.013271ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Counseling and Wellness LLC Mental Health CurrentSince Aug 18, 2019 Accepting new patients

Locations

53 W Jackson Blvd
Ste 1501
Chicago, IL 60604
Phone (224) 268-1931

19 N Grant St
Ste 2C
Hinsdale, IL 60521
Phone (630) 580-8080

305 Quail Ridge Dr
Westmont, IL 60559
Phone (630) 580-8080

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1972038990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N GRANT ST STE 2C",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213368",
            "telephone_number": "630-580-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N GRANT ST STE 2C",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-580-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 N Grant St Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "60521",
            "country_code": "US",
            "telephone_number": "630-580-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.013271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "BALL",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.