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

Carol Ballan

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780575746

Carol Ballan is a Mental Health Counselor in Shirley, New York. Qualified in 1999, 27 years ago. Registered with an NPI since 2025.

Years since qualifying
27
In the registry since
2025
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Practice location Address checks out

2 Coraci Blvd Ste 15&16
Shirley, NY 11967-4833
Phone: (631) 696-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1780575746
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address1377 Motor Pkwy Ste 102, Islandia, NY 11749-5249

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Shirley