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CAROL BALLAN
NPI 1780575746
Counselor - Addiction (Substance Use Disorder) in Shirley, NY

Active since July 09, 2025PECOS Enrolled
2 CORACI BLVD STE 15&16, SHIRLEY, NY 11967(631) 696-4357 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol Ballan NPPES

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

CAROL BALLAN (NPI 1780575746) is an individual addiction (substance use disorder) provider in Shirley, New York and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1780575746
Entity TypeIndividual
Primary Taxonomy101YA0400X
Provider Legal NameCAROL BALLAN
Location Address2 CORACI BLVD STE 15&16Shirley, NY 11967-4833
Mailing Address1377 Motor Pkwy Ste 102Islandia, NY 11749-5249
Phone(631) 696-4357
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1780575746 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
2 CORACI BLVD STE 15&16, Shirley, NY 11967
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9234645482
PECOS Enrollment IDI20250723002718
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.

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.

ISABELLA ALVAREZ
Counselor (Addiction (Substance Use Disorder))
2 CORACI BLVD STE 15&16
SHIRLEY, NY 11967
Suffolk County (631) 696-4357
GWENDOLYN DENNY CASAC-T
Counselor (Addiction (Substance Use Disorder))
2 CORACI BLVD STE 15&16
SHIRLEY, NY 11967
Suffolk County (631) 696-4357
ZIANNA KHACHATURIAN LMSW
Social Worker
2 CORACI BLVD STE 15&16
SHIRLEY, NY 11967
Suffolk County (631) 696-4357
MRS. ALEXANDRIA GONZALEZ LMSW, CASAC-ADV
Social Worker
2 CORACI BLVD STE 15&16
SHIRLEY, NY 11967
Suffolk County (631) 315-2320
JACQUELINE LAMONICA LMSW
Social Worker
2 CORACI BLVD STE 15&16
SHIRLEY, NY 11967
Suffolk County (631) 696-4357
SAMANTHA M CAROPELO CASAC-ADVANCED
Counselor (Addiction (Substance Use Disorder))
2 CORACI BLVD STE 15&16
SHIRLEY, NY 11967
Suffolk County (631) 696-4357
JULIA NICOLETTI
Social Worker
2 CORACI BLVD STE 15&16
SHIRLEY, NY 11967
Suffolk County (631) 696-4357
JOSEPH A SANCHEZ PA-C
Physician Assistant
2 CORACI BLVD STE 15&16
SHIRLEY, NY 11967
Suffolk County (631) 315-2320

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 Carol Ballan's NPI number?

The NPI number for Carol Ballan is 1780575746. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Where is Carol Ballan located?

Carol Ballan practices at 2 Coraci Blvd Ste 15&16, Shirley, NY 11967. The listed phone number is (631) 696-4357.

What is Carol Ballan's specialty?

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

Is Carol Ballan enrolled in Medicare?

Yes. Carol Ballan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carol Ballan was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.