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Deactivated NPI 1013087675 Deactivated / Inactive NPI Male Practitioner

Jeffrey Blake Ballou , LCP, LP

Counselor • Superior, WI

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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, Jeffrey Ballou has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 09, 2006
NPI Deactivation Date July 03, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Jeffrey Ballou, LCP, LP was a registered Counselor practicing in Superior, WI. Throughout an active medical career spanning 18 years, Jeffrey Ballou provided care at the practice location at 2231 CATLIN AVE until profile deactivation on 2024-07-03.

Practice Location & Contact Primary Location

Practice Address

2231 Catlin Ave

Superior, WI 548805137

Telephone 7153944173
Fax 7153949182
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Superior, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Superior, WI (872 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

State License WI 591-125

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

8 Associated Practitioners
John Ball , LICSW

Marriage & Family Therapist

NPI 1134299886

Licensed Independent Clinical Social Worker

Robin Wheaton , MSE, LPC-IT

Counselor - Professional

NPI 1255754156

MSE, LPCIT

Wendy Morris , LPC-IT

Counselor - Mental Health

NPI 1295120525

LPCIT

Susan Androski , RN

Registered Nurse - Case Management

NPI 1326278250

Registered Nurse

Debra Latscher , RN

Registered Nurse - Case Management

NPI 1427289800

Registered Nurse

Linda Toppings , LPC, APSW, LICSW

Social Worker - Clinical

NPI 1558433797

Licensed Professional Counselor, APSW, Licensed Independent Clinical Social Worker

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 July 03, 2024

Record deactivated on July 03, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2231 CATLIN AVE, SUPERIOR, WI 548805137 (Tel: 7153944173)

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Updated Business Mailing Address July 08, 2007

Registered at 1320 W CLAIREMONT AVE, STE 200, EAU CLAIRE, WI 547014566 (Tel: 7158342046)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY BALLOU, LCP, LP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #591-125 in WI)

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Initial NPI Registration & Enumeration November 09, 2006

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: 1013087675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: July 08, 2007
Deactivation Date: July 03, 2024

Mailing Address

1320 W Clairemont Ave, Ste 200

Eau Claire, WI 547014566

Phone: 7158342046

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

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