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KELLI BALLARD
NPI 1508167578
Counselor - Mental Health in Tahlequah, OK

Active since November 08, 2010PECOS Enrolled
19600 E ROSS ST, TAHLEQUAH, OK 74464(539) 234-1000 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2021, Mar 25, 2021 (2 updates tracked since 2021).

About Kelli Ballard NPPES

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

KELLI BALLARD (NPI 1508167578) is an individual mental health provider in Tahlequah, Oklahoma and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508167578
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLI BALLARD
Location Address19600 E ROSS STTahlequah, OK 74464-0545
Mailing Address619 N Main StMuskogee, OK 74401-4431 · (918) 682-8407 · Fax (918) 687-0976
Phone(539) 234-1000
Sole ProprietorYes
Enumeration DateNovember 8, 2010
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1508167578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
19600 E ROSS ST, Tahlequah, OK 74464
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Other Identifiers 1

Medicaid100734050OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Ballard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelli Ballard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Green Country Behavioral Health Services, Inc.
26 mi
Mental Health (Including Community Mental Health Center)
619 N MAIN ST
Muskogee, OK 74401
  • Reassigned Medicare billing, Oklahoma enrollment
  • 30 clinicians in this Medicare group
NPI 1336203132 (918) 682-8407

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.

LINDSEY MICHELLE STROTHER PA
Physician Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (919) 434-8500
DR. SARAH ANNE PEARSON DO
Student in an Organized Health Care Education/Training Program
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 302-4172
ANN NGUYEN D.P.M
Podiatrist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
MIKAYLA JAMESON
Occupational Therapy Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1900
THOMAS CRAIG BEEN DDS
Dentist (General Practice)
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
KIMBERLY ANN WATSON NP-C
Nurse Practitioner
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
DESTINY SPRING DANIEL PHARM.D.
Pharmacist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
BRITTANY N HUGGINS
Peer Specialist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000

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 Kelli Ballard's NPI number?

The NPI number for Kelli Ballard is 1508167578. It was assigned to this individual provider in the NPPES registry on November 8, 2010.

Where is Kelli Ballard located?

Kelli Ballard practices at 19600 E Ross St, Tahlequah, OK 74464. The listed phone number is (539) 234-1000.

What is Kelli Ballard's specialty?

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

Is Kelli Ballard enrolled in Medicare?

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

Which organization bills Medicare for Kelli Ballard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Ballard reassigns Medicare benefits to Green Country Behavioral Health Services, Inc. (Muskogee, OK). 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 Kelli Ballard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Ballard accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Kelli 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 Kelli Ballard was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.