Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Susan Ballard, LMFT120205, PCCI

Individual provider Mental Health Counselor · NPI 1013431899

Angela Susan Ballard, LMFT120205, PCCI is a Mental Health Counselor in San Carlos, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1033 Laurel St
San Carlos, CA 94070-3918
Phone: (650) 785-2562
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LMFT120205 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1013431899
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT120205 , PCCI
Sole proprietorYes
NPI enumeratedAugust 2, 2017
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020

Other providers in San Carlos