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

Mrs. Khrystin Ballenger, LMFT

Individual provider Marriage & Family Therapist · NPI 1366713364

Mrs. Khrystin Ballenger, LMFT is a Marriage and Family Therapist in Bowling Green, Kentucky. Qualified in 2012, 14 years ago. Practices with Extended Care Specialists, Inc, a 290-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
14
Licensed in
KY
In the registry since
2012
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone: (270) 901-5000
Fax: (270) 842-5268
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 164357 (KY)

Record details

NPI number1366713364
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorNo
NPI enumeratedJanuary 23, 2012
Last updated in NPPESDecember 12, 2017

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Extended Care Specialists, Inc — 290 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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