Active NPI
Whitney Carol Ballinger
- Mental Health Counselor
- Memphis, TN
National Provider Identifier
1972066538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4478
- Practice address
- 240 Madison Ave Ste 602
Memphis, TN 38103-2770 - Phone
- (901) 302-9575
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4478 | TN | Primary |
Addresses
Primary practice location
240 Madison Ave Ste 602
Memphis, TN 38103-2770
Mailing address
3785 Cardinal Ave
Memphis, TN 38111-6901
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4478 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1972066538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3785 CARDINAL AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381116901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MADISON AVE STE 602",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032770",
"telephone_number": "901-302-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLINGER",
"first_name": "WHITNEY",
"middle_name": "CAROL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "4478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.