AMANDA L BALLARD CSAC, SAC-IT, OT
NPI 1851546667
Counselor - Addiction (Substance Use Disorder) in Janesville, WI

Q: What is Amanda Ballard's NPI number?

The NPI number for Amanda Ballard is 1851546667. It was assigned to this individual provider in the NPPES registry on November 20, 2008.

Q: What is Amanda Ballard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Ballard was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 20, 2008

2600 HUMES RD STE 100, JANESVILLE, WI 53545(608) 741-2117 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2026, Jun 15, 2020, Jul 18, 2018 (3 updates tracked since 2018).

On this page

About Amanda L Ballard Csac, Sac-it, Ot NPPES

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

AMANDA L BALLARD CSAC, SAC-IT, OT (NPI 1851546667) is an individual addiction (substance use disorder) provider in Janesville, Wisconsin, licensed in Wisconsin (17168-132) and active in the NPI registry since November 2008. She maintains 3 additional practice locations and is a graduate of Other (2008).

NPPES Registry Identity

NPI1851546667

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameAMANDA L BALLARDCredential: CSAC, SAC-IT, OT

Location Address2600 HUMES RD STE 100Janesville, WI 53545

Mailing Address29624 Network PlChicago, IL 60673-1296

Phone(608) 741-2117

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateNovember 20, 2008

Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1851546667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in WI · 17168-132✔ Licensed in WI · 18847-130

Also ListedOccupational TherapistTaxonomy 225X00000X · License 103657 (MN), 5202-26 (WI), 056008907 (IL)

2600 HUMES RD STE 100, Janesville, WI 53545

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11401 E State StRockford, IL 61104-2315 · Phone (779) 489-4595

Location 24730 Squaw Prairie RdBelvidere, IL 61008-8800 · Phone (815) 544-9495

Location 3200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Other Identifiers 1

MedicaidENROLLEDMN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda L Ballard Csac, Sac-it, Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406919836

PECOS Enrollment IDI20260313001653

Other Providers at the Same Location NPPES 5

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

RATHNA SREE MALLELA M.D., M.P.H.

Psychiatry & Neurology (Child & Adolescent Psychiatry)