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Deactivated NPI 1164650792 Deactivated / Inactive NPI Male Practitioner

Michael Thomas Ballard , LPC

Counselor - Professional • Midland, TX

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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, Michael Ballard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2009
NPI Deactivation Date June 13, 2018
Total Practice Duration ~9 Years of Practice (2009 – 2018)

Professional Overview & Biography Verified Profile Summary

Michael Ballard, LPC was a registered Counselor - Professional practicing in Midland, TX. Throughout an active medical career spanning 9 years, Michael Ballard provided care at the practice location at 3500 N A ST until profile deactivation on 2018-06-13.

Practice Location & Contact Primary Location

Practice Address

3500 N A St
Suite 2400

Midland, TX 797052554

Telephone 4325505683
Associated Practice Facility / Clinic
🏢 Agape Christian Services Facility NPI 1831451525

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Midland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
107 Specialists

Practicing in Midland, TX (21203 Statewide)

Telehealth Adoption Rate
1.9% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 63044

Definition to come...

Practice Associates & Co-Workers

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

5 Associated Practitioners
Sarah Meinzer , LCSW

Social Worker - Clinical

NPI 1164926689

Licensed Clinical Social Worker

Nona Nix , LPC

Counselor - Professional

NPI 1194113472

Licensed Professional Counselor

Kristine Nellermoe Blankendaal

Counselor - Addiction (Substance Use Disorder)

NPI 1457848111
Anne Killam , MS

Counselor - Professional

NPI 1508074287

Master of Science

Kurt Blackketter , LPC

Counselor - Professional

NPI 1881944734

Licensed Professional Counselor

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 13, 2018

Record deactivated on June 13, 2018

NPI Profile Active December 29, 2014

NPI status registered as active in NPPES database

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Updated Practice Location December 29, 2014

Registered at 3500 N A ST, SUITE 2400, MIDLAND, TX 797052554 (Tel: 4325505683)

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Updated Business Mailing Address December 29, 2014

Registered at 3500 N A ST, SUITE 2400, MIDLAND, TX 797052554 (Tel: 4325505683)

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Provider Name / Credentials Updated December 29, 2014

Recorded as MICHAEL BALLARD, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2014

Counselor (License #63044 in TX)

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Initial NPI Registration & Enumeration June 22, 2009

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: 1164650792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2009
Last Update: December 29, 2014
Deactivation Date: June 13, 2018

Mailing Address

3500 N A St, Suite 2400

Midland, TX 797052554

Phone: 4325505683

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.