LISA R. BALLINGER M.A. LCPC NPI 1811985468

NPI Information

NPI: 1811985468
Provider Name: LISA R. BALLINGER, M.A., LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1005 HEALTH CENTER DR STE 102
MATTOON, IL
ZIP 61938
Phone: (217) 258-4042
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Lisa R. Ballinger, M.A., LCPC is a professional counselor in Mattoon, IL. Lisa R. Ballinger, M.A., LCPC NPI is 1811985468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1005 HEALTH CENTER DR STE 102
MATTOON, IL
ZIP 61938-637
Phone: (217) 258-4042
Fax: (217) 258-4053

The NPI 1811985468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/7/2005 and was last updated on 1/9/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	180003520	ILLINOIS	No
2	101YP2500X	Counselor	Professional	180003520	ILLINOIS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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