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PHILLIP BALLASCH
NPI 1417470154
Counselor - Addiction (Substance Use Disorder) in Modesto, CA

Active since July 25, 2017
1581 CUMMINS DR STE 147, MODESTO, CA 95358(209) 602-0572 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2025, Jul 25, 2017 (2 updates tracked since 2017).

About Phillip Ballasch NPPES

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

PHILLIP BALLASCH (NPI 1417470154) is an individual addiction (substance use disorder) provider in Modesto, California, licensed in California (B1211161326) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1417470154
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePHILLIP BALLASCH
Location Address1581 CUMMINS DR STE 147Modesto, CA 95358-6402
Mailing Address1231 8th St Ste 300Modesto, CA 95354-2235
Phone(209) 602-0572
Sole ProprietorYes
Enumeration DateJuly 25, 2017
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1417470154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · B1211161326
1581 CUMMINS DR STE 147, Modesto, CA 95358
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Other Providers at the Same Location NPPES 4

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

YOEUN YAN
Case Manager/Care Coordinator
1581 CUMMINS DR STE 147
MODESTO, CA 95358
Stanislaus County (209) 281-7465
MARIA ELENA MADRIGAL
Adult Companion
1581 CUMMINS DR STE 147
MODESTO, CA 95358
Stanislaus County (209) 289-4558
ALICIA NICOLE KIBLER
Adult Companion
1581 CUMMINS DR STE 147
MODESTO, CA 95358
Stanislaus County (209) 525-7464
AURELIA VAZQUEZ
Specialist
1581 CUMMINS DR STE 147
MODESTO, CA 95358
Stanislaus County (209) 525-6081

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 Phillip Ballasch's NPI number?

The NPI number for Phillip Ballasch is 1417470154. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Phillip Ballasch located?

Phillip Ballasch practices at 1581 Cummins Dr Ste 147, Modesto, CA 95358. The listed phone number is (209) 602-0572.

What is Phillip Ballasch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phillip Ballasch was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.