DR. LUTISSUA D BALLARD PSYD
NPI 1093135659
Psychologist - Clinical in Green Valley, AZ

Active since April 22, 2014PECOS EnrolledAccepts Medicare Assignment
210 W CONTINENTAL RD STE 229, GREEN VALLEY, AZ 85622(520) 329-1579 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2025, Mar 4, 2024, Sep 3, 2016 (3 updates tracked since 2016).

About Dr. Lutissua D Ballard Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUTISSUA D BALLARD PSYD (NPI 1093135659) is an individual clinical provider in Green Valley, Arizona, licensed in Arizona (4480) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1093135659
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LUTISSUA D BALLARDCredential: PSYD
Location Address210 W CONTINENTAL RD STE 229Green Valley, AZ 85622-3596
Mailing AddressPo Box 204Fort Mill, SC 29716-0204 · (520) 329-1579
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 22, 2014
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1093135659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in AZ · 4480
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 4480 (AZ)
210 W CONTINENTAL RD STE 229, Green Valley, AZ 85622

Other Identifiers 2

Medicaid914097AZ
MedicaidZ194557AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Lutissua D Ballard Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860770195
PECOS Enrollment IDI20161020001878
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85622 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lutissua Ballard's NPI number?

The NPI number for Lutissua Ballard is 1093135659. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Lutissua Ballard located?

Lutissua Ballard practices at 210 W Continental Rd Ste 229, Green Valley, AZ 85622. The listed phone number is (520) 329-1579.

What is Lutissua Ballard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lutissua Ballard enrolled in Medicare?

Yes. Lutissua Ballard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lutissua Ballard accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Lutissua Ballard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lutissua Ballard was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.