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DR. ROGER ASHMAN BALLOU PHD LMFT LPC NPI 1609959006


NPI Information

NPI: 1609959006
Provider Name: DR. ROGER ASHMAN BALLOU, PHD, LMFT, LPC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
2900 THOMAS AVE S
APARTMENT 1526
MINNEAPOLIS, MN
ZIP 55416
Phone: (651) 246-7592
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DR. Roger Ashman Ballou, PHD, LMFT, LPC is a marriage family therapist in Minneapolis, MN. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. DR. Roger Ashman Ballou, PHD, LMFT, LPC NPI is 1609959006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2900 THOMAS AVE S
APARTMENT 1526
MINNEAPOLIS, MN
ZIP 55416-477
Phone: (651) 246-7592

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist1130MINNESOTANo
2106H00000XMarriage & Family Therapist203NEW HAMPSHIRENo
3106H00000XMarriage & Family Therapist723WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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