DAVID BALLARD MA, LAC, NCC
NPI 1407440175
Counselor - Mental Health in Surprise, AZ

Q: What is David Ballard's NPI number?

The NPI number for David Ballard is 1407440175. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Q: What is David Ballard's specialty?

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

Q: Is David Ballard enrolled in Medicare?

No. David Ballard has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for David Ballard was last updated on February 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 23, 2021Opted out of Medicare · through Jan 1, 2027

18789 N REEMS RD STE 260, SURPRISE, AZ 85374(480) 694-5707 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About David Ballard Ma, Lac, Ncc NPPES

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

DAVID BALLARD MA, LAC, NCC (NPI 1407440175) is an individual mental health provider in Surprise, Arizona and active in the NPI registry since February 2021. He has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1407440175

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameDAVID BALLARDCredential: MA, LAC, NCC

Location Address18789 N REEMS RD STE 260Surprise, AZ 85374-8648

Mailing AddressPo Box 21275Wickenburg, AZ 85358-6275 · (480) 694-5707

Phone(480) 694-5707

Sole ProprietorYes

Enumeration DateFebruary 23, 2021

NPPES CertifiedFebruary 23, 2021

✔ NPI 1407440175 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

Also ListedCounselorTaxonomy 101Y00000X

18789 N REEMS RD STE 260, Surprise, AZ 85374

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

David Ballard Ma, Lac, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

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