MR. JOHN R. BALLEW LPC
NPI 1770504177
Counselor - Mental Health in Atlanta, GA
About Mr. John R. Ballew Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN R. BALLEW LPC (NPI 1770504177) is an individual mental health provider in Atlanta, Georgia, licensed in Georgia (577) and active in the NPI registry since July 2006. He has opted out of Medicare through February 5, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. John R. Ballew Lpc 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 February 5, 2024 through February 5, 2028.
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 John Ballew's NPI number?
The NPI number for John Ballew is 1770504177. It was assigned to this individual provider in the NPPES registry on July 21, 2006. The provider is also known as Mr. John Ballew Lpc.
Where is John Ballew located?
John Ballew practices at 537 Linwood Ave NE, Atlanta, GA 30306. The listed phone number is (404) 659-5175.
What is John Ballew's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is John Ballew enrolled in Medicare?
No. John Ballew has opted out of Medicare through February 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for John Ballew was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. John R. Ballew, LPC · NPI 1770504177
Mental Health provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1770504177 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 577 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 537 LINWOOD AVE NE, Atlanta, GA 30306-4424
- **Phone:** (404) 659-5175
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 5, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1770504177) · Data from the CMS NPPES public registry.