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SHANE BALL LPC
NPI 1922146307
Counselor - Professional in Anchorage, AK

Active since February 01, 2007PECOS Enrolled
4000 LAUREL ST, ANCHORAGE, AK 99508(907) 729-6300 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shane Ball Lpc NPPES

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

SHANE BALL LPC (NPI 1922146307) is an individual professional provider in Anchorage, Alaska, licensed in Alaska (116044) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1922146307
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSHANE BALLCredential: LPC
Location Address4000 LAUREL STAnchorage, AK 99508-5333
Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262 · (907) 729-8961 · Fax (907) 729-5180
Phone(907) 729-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 1, 2007
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1922146307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AK · 116044
4000 LAUREL ST, Anchorage, AK 99508
Open in Google Maps ↗

Other Identifiers 1

MedicaidPENDINGAK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Ball Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385131929
PECOS Enrollment IDI20251016001699
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 Shane Ball reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southcentral Foundation
Same address
Community/Behavioral Health
4000 LAUREL ST
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 459 clinicians in this Medicare group
NPI 1235782657 (907) 729-6300

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.

WILLIAM JAMES FANNING
Counselor (Addiction (Substance Use Disorder))
4000 LAUREL ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6300
ANGELA D WHITINGER
Case Manager/Care Coordinator
4000 LAUREL ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5048
NAYADE RENNELLY PEREZ
Counselor (Addiction (Substance Use Disorder))
4000 LAUREL ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6300
SIMONE CRUEL BHCM
Case Manager/Care Coordinator
4000 LAUREL ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6300
ANDREA MICHELLE SCHULTZ CASSIDY
Counselor (Addiction (Substance Use Disorder))
4000 LAUREL ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6300
AMANDA CONNELL LCSW
Social Worker (Clinical)
4000 LAUREL ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6300
NICOLE E RYAN BA, CDCI
Counselor (Addiction (Substance Use Disorder))
4000 LAUREL ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6300
SOUTHCENTRAL FOUNDATION
Community/Behavioral Health
4000 LAUREL ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6300

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 Shane Ball's NPI number?

The NPI number for Shane Ball is 1922146307. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Shane Ball located?

Shane Ball practices at 4000 Laurel St, Anchorage, AK 99508. The listed phone number is (907) 729-6300.

What is Shane Ball's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shane Ball enrolled in Medicare?

Yes. Shane Ball is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shane Ball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Ball reassigns Medicare benefits to Southcentral Foundation (Anchorage, AK). 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 Shane Ball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Ball was last updated on October 1, 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.