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

Traci Denise Ballard, MA, MPA, LLPC

Individual provider Other Technician · NPI 1336695733

Traci Denise Ballard, MA, MPA, LLPC is a Mental Health Counselor in Detroit, Michigan. Qualified in 2018, 8 years ago. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

79 W Alexandrine St
Detroit, MI 48201-2015
Phone: (313) 831-5535
Fax: (313) 831-2608
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

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401016840 (MI)
Other Technician Taxonomy 247200000X

Record details

NPI number1336695733
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , MPA , LLPC
Sole proprietorNo
NPI enumeratedAugust 26, 2016
Last updated in NPPESFebruary 15, 2020
Certification dateFebruary 15, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Detroit