1. Home
  2. Directory
  3. Virginia
  4. Harrisonburg
  5. Psychologist
  6. NPI Profile

TRACI R BALLOU-BROADNAX PSYD
NPI 1235801614
Psychologist - Clinical in Harrisonburg, VA

Active since October 04, 2021PECOS Enrolled
312 NEFF AVE, HARRISONBURG, VA 22801(540) 433-2858(540) 433-1175 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Traci R Ballou-broadnax Psyd NPPES

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

TRACI R BALLOU-BROADNAX PSYD (NPI 1235801614) is an individual clinical provider in Harrisonburg, Virginia, licensed in Virginia (0810007624) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235801614
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTRACI R BALLOU-BROADNAXCredential: PSYD
Location Address312 NEFF AVEHarrisonburg, VA 22801-3429
Mailing Address312 Neff AveHarrisonburg, VA 22801-3429 · (540) 433-2858 · Fax (540) 433-1175
Phone(540) 433-2858
Fax(540) 433-1175
Sole ProprietorNo
Enumeration DateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
✔ NPI 1235801614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810007624
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.
312 NEFF AVE, Harrisonburg, VA 22801
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Traci R Ballou-broadnax Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Traci Ballou-broadnax reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain View Psychology, LLC
Same address
Clinical
328 NEFF AVE
Harrisonburg, VA 22801
  • Reassigned Medicare billing, Virginia enrollment
  • 5 clinicians in this Medicare group
NPI 1962746370 (540) 433-2858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22801 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW'S CENTER FOR VISUAL LEARNING
Community/Behavioral Health
312 NEFF AVE
HARRISONBURG, VA 22801
Harrisonburg City (540) 433-4773
CHRISTINE W PARRISH PHD
Psychologist (Clinical)
312 NEFF AVE
HARRISONBURG, VA 22801
Harrisonburg City (540) 433-2858
DR. HYUNJOO SHIM PH.D.
Psychologist
312 NEFF AVE
HARRISONBURG, VA 22801
Harrisonburg City (540) 433-2858
DR. JONATHAN RITTENHOUSE PSY.D.
Psychologist (Clinical)
312 NEFF AVE
HARRISONBURG, VA 22801
Harrisonburg City (404) 332-8585
DR. DEREK FORD PHD
Psychologist (Clinical)
312 NEFF AVE
HARRISONBURG, VA 22801
Harrisonburg City (540) 433-2858

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 Traci Ballou-broadnax's NPI number?

The NPI number for Traci Ballou-broadnax is 1235801614. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Traci Ballou-broadnax located?

Traci Ballou-broadnax practices at 312 Neff Ave, Harrisonburg, VA 22801. The listed phone number is (540) 433-2858.

What is Traci Ballou-broadnax's specialty?

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

Is Traci Ballou-broadnax enrolled in Medicare?

Yes. Traci Ballou-broadnax is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Traci Ballou-broadnax's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Traci Ballou-broadnax reassigns Medicare benefits to Mountain View Psychology, LLC (Harrisonburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Traci Ballou-broadnax's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Traci Ballou-broadnax was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.