MRS. KHRYSTIN BALLENGER LMFT
NPI 1366713364
Marriage & Family Therapist in Bowling Green, KY

Q: What is Khrystin Ballenger's NPI number?

The NPI number for Khrystin Ballenger is 1366713364. It was assigned to this individual provider in the NPPES registry on January 23, 2012. The provider is also known as Miss Khrystin Clark.

Q: What is Khrystin Ballenger's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since January 23, 2012PECOS EnrolledAccepts Medicare Assignment

380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103(270) 901-5000(270) 842-5268 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mrs. Khrystin Ballenger Lmft NPPES

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

MRS. KHRYSTIN BALLENGER LMFT (NPI 1366713364) is an individual marriage & family therapist in Bowling Green, Kentucky, licensed in Kentucky (164357) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1366713364

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. KHRYSTIN BALLENGERCredential: LMFT

Location Address380 SUWANNEE TRAIL STBowling Green, KY 42103-7956

Mailing Address380 Suwannee Trail StBowling Green, KY 42103-7956 · (270) 901-5000

Phone(270) 901-5000

Fax(270) 842-5268

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 23, 2012

Last NPPES UpdateDecember 12, 2017

✔ NPI 1366713364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in KY · 164357

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

380 SUWANNEE TRAIL ST, Bowling Green, KY 42103

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Other Names 1

Former Name (1)Miss Khrystin Clark

Other Identifiers 1

Medicaid7100372860KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource 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 and accepts Medicare assignment

Mrs. Khrystin Ballenger Lmft 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 ID6103352125

PECOS Enrollment IDI20241213000038

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 Reassignments

Medicare enrollment records show Khrystin Ballenger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eventus Wholehealth Midwest Inc

158 mi

Family Medicine

2100 MIDWAY ST # 3722
Columbus, IN 47201

Reassigned Medicare billing, Kentucky enrollment
114 clinicians in this Medicare group

NPI 1386252757 (260) 483-9081

Extended Care Specialists, Inc

314 mi

Adult Medicine

8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410

Reassigned Medicare billing, Kentucky enrollment
145 clinicians in this Medicare group

NPI 1134146079 (855) 743-2247

Mental Health Specialty Group PA

423 mi

Mental Health

110 N CORCORAN ST FL 5
Durham, NC 27701

Reassigned Medicare billing, Kentucky enrollment
47 clinicians in this Medicare group

NPI 1801472634 (323) 205-7088

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

68 services33 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

56 services56 patients

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.

VALORIE DUNCAN

Registered Nurse