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Deactivated NPI 1275789331 Deactivated / Inactive NPI Female Practitioner

Misty R Ballard

Counselor • Jackson, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Misty Ballard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 08, 2008
NPI Deactivation Date June 03, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Misty Ballard was a registered Counselor practicing in Jackson, TN. Throughout an active medical career spanning 11 years, Misty Ballard provided care at the practice location at 36 SANDSTONE CIR STE C until profile deactivation on 2019-06-03.

Practice Location & Contact Primary Location

Practice Address

36 Sandstone Cir Ste C

Jackson, TN 383052091

Telephone 7316686886
Fax 7316683045

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
56 Specialists

Practicing in Jackson, TN (1666 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1174683221

Master of Arts

NPI 1255491247

Bachelor of Science

NPI 1306906441

Master of Science

NPI 1437219573
NPI 1689734766

Bachelor of Science

NPI 1689734774

Bachelor of Science

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 03, 2019

Record deactivated on June 03, 2019

NPI Profile Active August 08, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 08, 2008

Registered at 36 SANDSTONE CIR STE C, JACKSON, TN 383052091 (Tel: 7316686886)

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Updated Business Mailing Address August 08, 2008

Registered at 36 SANDSTONE CIR STE C, JACKSON, TN 383052091 (Tel: 7316686886)

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Provider Name / Credentials Updated August 08, 2008

Recorded as MISTY BALLARD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2008

Counselor

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Initial NPI Registration & Enumeration August 08, 2008

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: 1275789331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2008
Last Update: August 08, 2008
Deactivation Date: June 03, 2019

Mailing Address

36 Sandstone Cir Ste C

Jackson, TN 383052091

Phone: 7316686886

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.