JOCKUELA BALLARD
NPI 1245638121
Peer Specialist in Fairfield, CA

Active since December 09, 2014
2420 MARTIN RD STE 200, FAIRFIELD, CA 94534(707) 399-4520 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, Mar 25, 2021, Mar 9, 2021 (3 updates tracked since 2021).

About Jockuela Ballard NPPES

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

JOCKUELA BALLARD (NPI 1245638121) is an individual peer specialist in Fairfield, California and active in the NPI registry since December 2014. She maintains a secondary practice location in San Leandro.

NPPES Registry Identity

NPI1245638121
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJOCKUELA BALLARD
Location Address2420 MARTIN RD STE 200Fairfield, CA 94534-8610
Mailing Address2420 Martin Rd Ste 200Fairfield, CA 94534-8610 · (916) 388-6400
Sole ProprietorNo
Enumeration DateDecember 9, 2014
Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1245638121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2420 MARTIN RD STE 200, Fairfield, CA 94534

Secondary Practice Location 1

Location 12275 Arlington DrSan Leandro, CA 94578-1132 · Phone (510) 317-1444

Other Providers at the Same Location NPPES 20

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

Adult Companion
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534
Marriage & Family Therapist
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534
Adult Companion
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534
Case Manager/Care Coordinator
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534
Adult Companion
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534
Adult Companion
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534
Marriage & Family Therapist
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534
Marriage & Family Therapist
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534

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 Jockuela Ballard's NPI number?

The NPI number for Jockuela Ballard is 1245638121. It was assigned to this individual provider in the NPPES registry on December 9, 2014.

Where is Jockuela Ballard located?

Jockuela Ballard practices at 2420 Martin Rd Ste 200, Fairfield, CA 94534. The listed phone number is (707) 399-4520.

What is Jockuela Ballard's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jockuela Ballard was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.