Active NPI 1821338096 Individual Practitioner Male Practitioner

Andre Ballinger , LMT

Specialist • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Andre Ballinger, LMT is a registered healthcare professional specializing in Specialist in Columbus, OH. Practice services are available at 4488 W BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4488 W Broad St

Columbus, OH 432285610

Telephone 6147466746

Associated Practice Facility / Clinic

🏢 Mid Ohio Oral Surgery, Inc. Facility NPI 1356407258

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Columbus, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.6 Yrs

State Avg: 37.3 Yrs

Regional Practice Density

155 Specialists

Practicing in Columbus, OH (1444 Statewide)

Telehealth Adoption Rate

1.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 33.019992

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh

12505340 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Moffou Tchoula

Social Worker - Clinical

NPI 1003450511

Patrick Seymour

Assistant Behavior Analyst

NPI 1003578279

Sylvia Ardis , MFT

Marriage & Family Therapist

NPI 1023314903

Marriage and Family Therapist

Michael Schaefer , PCC

Counselor - Professional

NPI 1164741559

Joanna Mcclain , LCDC III

Counselor - Addiction (Substance Use Disorder)

NPI 1194479352

LCDCIII

Kyle Dingman

Peer Specialist

NPI 1205532363

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 25, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 25, 2013

Registered at 4488 W BROAD ST, COLUMBUS, OH 432285610 (Tel: 6147466746)

📍

Updated Business Mailing Address February 25, 2013

Registered at 3445 EDENHURST ST, COLUMBUS, OH 432243004 (Tel: 6144753429)

👤

Provider Name / Credentials Updated February 25, 2013

Recorded as ANDRE BALLINGER, LMT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2013

Specialist (License #33.019992 in OH)

🟢

Initial NPI Registration & Enumeration February 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821338096

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 25, 2013

Last Update: February 25, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3445 Edenhurst St

Columbus, OH 432243004

Phone: 6144753429

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.