MR. JAMES EDWARD BALLENGER (NPI# 1730202466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730202466 |
| Entity Type | Individual |
| Full Name | MR. JAMES EDWARD BALLENGER |
| Credential | LCSW |
| Practice Address |
4200 South Fwy Ste 2325 Fort Worth TX 76115-1400 |
| Mailing Address |
Po Box 331581 Fort Worth TX 76163-1581 |
| Practice Telephone | 8179758015 |
| Practice Fax Number | 8173619958 |
| Mailing Telephone | 8179758015 |
| Mailing Fax Number | 8173619958 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
23853 | TX | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 23853 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1594087-01 | 05 | |
| TX | 159408703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407913361 | James Francis Ballenger | Psychologist | Kaiser Permanente - Department of Psychiatry, 280 W. Macarthur Blvd, Oakland, CA 94611 | 2007-01-02 |
| 1104827252 | James C Ballenger | Psychiatry & Neurology | 192 E Bay St, Ste 204, Charleston, SC 29401-2171 | 2005-08-10 |
| Street Address |
4200 SOUTH FWY STE 2325 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76115-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400047 | Christine Vera Varela | Nurse Practitioner | Clinicas Mi Doctor, 4200 S Freeway Ste 106, Fort Worth, TX 76115 | 2017-11-09 |
| 1376081752 | Cheryl D. Mitchell | Nurse Practitioner | 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 | 2017-02-06 |
| 1508097858 | Misti Lynne Poulos | Massage Therapist | 4534 Stanley Ave, #361, Fort Worth, TX 76115 | 2009-08-04 |
| 1609015312 | Sirisha Bheemaneni | Internal Medicine | 11801 S Frwy, Fort Worth, TX 76115 | 2009-02-19 |
| 1639378292 | Jeffrey J. Raymond | Physician Assistant | 544 West Seminary Dr, Fort Worth, TX 76115 | 2007-07-13 |
| 1336367952 | Luis Sierra-nieves | Physician Assistant | 544 West Seminary Drive, Fort Worth, TX 76115 | 2007-04-20 |
| 1396861209 | Remedios R Cabansag | Obstetrics & Gynecology | 11803 So Freewax, Suite 254, Fort Worth, TX 76115 | 2007-03-22 |
| 1073602611 | Courage Rehab Clinic | Clinic/Center | 1670 North Hampton Road, Suite 110, Desoto, TX 76115 | 2006-10-12 |
| 1548369200 | Vijay Khanna | Podiatrist | 4759 B South Freeway, Ft Worth, TX 76115 | 2006-09-21 |
| 1225045164 | Allan M Wallace | Optometrist | 11803 South Frwy, Suite 114, Fort Worth, TX 76115 | 2006-08-02 |
| Find all providers in zip 76115 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410756 | Cowtown Counseling Pllc | Social Worker | 3270 Marys Ln, Fort Worth, TX 76116-4328 | 2020-08-31 |
| 1437762770 | Brandi Lashay Rhoden | Social Worker | 1720 Birds Eye Rd, Fort Worth, TX 76177-7548 | 2020-08-26 |
| 1063023067 | Brianna Snow | Social Worker | 2900 Race St Apt 156, Fort Worth, TX 76111-4170 | 2020-08-12 |
| 1871118745 | Raven Temeka Brown-mckinney | Social Worker | 7609 Bancroft Cir, Fort Worth, TX 76120-2491 | 2020-06-16 |
| 1356965123 | Courtney Shipp | Social Worker | 9211 Dale Lane Ct Apt 248, Fort Worth, TX 76108-2655 | 2020-06-08 |
| 1457974966 | Roberta Christine Mcknight-dupas | Social Worker | 6908 Greenlee St, Fort Worth, TX 76112-5602 | 2020-05-19 |
| 1336777010 | Renese Ann Super | Social Worker | 12333 Red Birch Ln, Fort Worth, TX 76244-4597 | 2020-03-30 |
| 1194358499 | Karen Brooks | Social Worker | 8551 Boat Club Rd Ste 115, Fort Worth, TX 76179-3674 | 2020-02-15 |
| 1851922728 | Melissa Dawn Monteiro | Social Worker | 1307 8th Ave Ste 301, Fort Worth, TX 76104-4140 | 2020-01-30 |
| 1417588369 | Ann Keith | Social Worker | 225 Casa Blanca Ave, Fort Worth, TX 76107-7720 | 2020-01-29 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.