CHANDELL BALLEN LPC
NPI 1912769712
Counselor - Professional in Kalamazoo, MI
About Chandell Ballen Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANDELL BALLEN LPC (NPI 1912769712) is an individual professional provider in Kalamazoo, Michigan, licensed in Michigan (6401226062) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chandell Ballen Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Chandell Ballen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 135 clinicians in this Medicare group
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.
KALAMAZOO, MI 49006
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 Chandell Ballen's NPI number?
The NPI number for Chandell Ballen is 1912769712. It was assigned to this individual provider in the NPPES registry on January 26, 2024.
Where is Chandell Ballen located?
Chandell Ballen practices at 1530 Nichols Rd, Kalamazoo, MI 49006. The listed phone number is (269) 343-6700.
What is Chandell Ballen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Chandell Ballen enrolled in Medicare?
Yes. Chandell Ballen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Chandell Ballen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chandell Ballen reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). 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 Chandell Ballen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chandell Ballen accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Chandell Ballen 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 Chandell Ballen was last updated on March 25, 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.
# Chandell Ballen, LPC · NPI 1912769712
Professional provider in Kalamazoo, Michigan. Individual provider, active in the CMS NPPES registry since January 26, 2024.
## Identity
- **NPI:** 1912769712 (Entity type: Individual)
- **Enumerated:** January 26, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401226062 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1530 NICHOLS RD, Kalamazoo, MI 49006-2065
- **Phone:** (269) 343-6700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pine Rest Christian Mental Health Services (NPI 1780695411, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912769712) · Data from the CMS NPPES public registry.