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TRACI DENISE BALLARD MA, MPA, LLPC
NPI 1336695733
Counselor - Mental Health in Detroit, MI

Active since August 26, 2016PECOS Enrolled
79 W ALEXANDRINE ST, DETROIT, MI 48201(313) 831-5535(313) 831-2608 Get Directions Write a Review

NPPES record last updated: February 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 15, 2020, Aug 26, 2016 (2 updates tracked since 2016).

About Traci Denise Ballard Ma, Mpa, Llpc NPPES

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

TRACI DENISE BALLARD MA, MPA, LLPC (NPI 1336695733) is an individual mental health provider in Detroit, Michigan, licensed in Michigan (6401016840) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336695733
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACI DENISE BALLARDCredential: MA, MPA, LLPC
Location Address79 W ALEXANDRINE STDetroit, MI 48201-2015
Mailing Address79 W Alexandrine StDetroit, MI 48201-2015 · (313) 831-5535 · Fax (313) 831-2608
Phone(313) 831-5535
Fax(313) 831-2608
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 26, 2016
Last NPPES UpdateFebruary 15, 20202 updates tracked since enumeration
✔ NPI 1336695733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401016840
Also ListedTechnician, OtherTaxonomy 247200000X
79 W ALEXANDRINE ST, Detroit, MI 48201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Traci Denise Ballard Ma, Mpa, Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608249172
PECOS Enrollment IDI20260624000956
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 Ballard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grady Memorial Hospital Corporation
597 mi
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
NPI 1114243813 (404) 616-8880

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

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.

LEAH WELTON MSW
Social Worker (Clinical)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
MS. EMILY FRANCES TROYER LPC
Counselor (Professional)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
ROJET MORROW LLMSW,CMHP
Social Worker (Clinical)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
ANGELA ORR
Behavior Technician
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
LORETTA BANTOM
Counselor (Professional)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
LINDA HENDERSON
Specialist
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-5535
CIARA COX
Behavior Technician
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 831-2008
THE CHILDREN'S CENTER OF WAYNE CO., INC.
Psychologist (Clinical Child & Adolescent)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Wayne County (313) 262-0951

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 Ballard's NPI number?

The NPI number for Traci Ballard is 1336695733. It was assigned to this individual provider in the NPPES registry on August 26, 2016.

Where is Traci Ballard located?

Traci Ballard practices at 79 W Alexandrine St, Detroit, MI 48201. The listed phone number is (313) 831-5535.

What is Traci Ballard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Traci Ballard enrolled in Medicare?

Yes. Traci Ballard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Traci Ballard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Traci Ballard reassigns Medicare benefits to Grady Memorial Hospital Corporation (Atlanta, GA). 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 Ballard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Traci Ballard accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Traci 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 Traci Ballard was last updated on February 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.