COLBY DEWAYNE BALL (LPC) – Professional Counselor, NPI 1720551120

COLBY DEWAYNE BALL (LPC) is a healthcare provider. based in Clintwood, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 0701008048 (VA). The NPI Number for COLBY DEWAYNE BALL (LPC) is 1720551120

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
COLBY DEWAYNE BALL (LPC)
NPI
1720551120
Phone
(276) 926-1680
Address
PO BOX 309
Enumeration Date
8 January 2019
Last Update Date
8 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2769261680
Graduation Year
2013 (13 years ago)
PAC ID
4789035064
Group Practice PAC ID
9436134475
Professional Enrollment ID
I20240111000937
Address ID
VA242285077CL440XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

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Provider Addresses for COLBY DEWAYNE BALL (LPC)

  • PO BOX 309

    CLINTWOOD, VA 242280309

    Phone: (276) 926-1680

    Type: Mailing

  • 440, Fox Town Road, Clintwood, Dickenson County, Virginia, 24228, United States

    CLINTWOOD, VA 242285077

    Phone: (276) 926-1680

    Fax: (276) 926-9179

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240111000937IMental Health CounselorVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24228)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436134475View full group profile
NameSpecialtyState
Mental Health CounselorTN
Nurse PractitionerVA
Nurse PractitionerVA
Psychiatry, Geriatric PsychiatryVA
-VA

Reviews

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Frequently asked questions

Where can patients find COLBY DEWAYNE BALL (LPC)'s NPI?
You can confirm COLBY DEWAYNE BALL (LPC) with NPI 1720551120; it appears in the national provider directory.
Is COLBY DEWAYNE BALL (LPC) active in the national directory?
COLBY DEWAYNE BALL (LPC)'s public NPI profile is in an active state.
What kind of provider is COLBY DEWAYNE BALL (LPC)?
The page reflects Professional Counselor for COLBY DEWAYNE BALL (LPC). Clinical services aligned with this taxonomy classification.
Where does public data place COLBY DEWAYNE BALL (LPC)?
The snapshot lists Clintwood, Virginia for COLBY DEWAYNE BALL (LPC); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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