MEDICARE: DR. KENNETH BERNARD BALLARD LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LC2142	MD

General Provider Information

NPI Number	:	1891069001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH BERNARD BALLARD LCPC

Provider Business Mailing Address
First Line	:	5410 TEMPLE HILL RD
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-3506
Country	:	US
Telephone Number	:	202-841-7080
Fax Number	:

Provider Business Practice Location Address
First Line	:	5410 TEMPLE HILL RD
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-3506
Country	:	US
Telephone Number	:	202-841-7080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2012
Last Update Date	:	03/06/2012

Similar Medicare Providers

1821878349 — DAISY'S ANGEL CARE
Practice Location Address:

5415 PARMERTON AVE
TEMPLE CITY, CA
91780-3506

Practice Phone: 626-203-8570
Practice Fax:

1437141025 — OPTIMUM REHABILITATION SERVICES, INC.
Practice Location Address:

360 S OAKHURST DR
BEVERLY HILLS, CA
90212-3506

Practice Phone: 310-625-9768
Practice Fax:

1124064746 — VONS COMPANIES INC
Practice Location Address:

7 PENINSULA CTR
ROLLING HILLS ESTATES, CA
90274-3506

Practice Phone: 310-541-1915
Practice Fax: 310-265-8374

1861501231 — THRIFTY PAYLESS INC
Practice Location Address:

23 PENINSULA CENTER
ROLLING HILLS ESTATES, CA
90274-3506

Practice Phone: 310-377-4472
Practice Fax:

1114000122 — MARY L. DIMYAN, DDS.INC
Practice Location Address:

43 PENINSULA CTR # B , SUITE #2
ROLLING HILLS ESTATES, CA
90274-3506

Practice Phone: 310-544-7044
Practice Fax: 310-544-7344

1053481317 — DR. GELSON CAMARGO DDS
Practice Location Address:

3835 N LECANTO HWY
BEVERLY HILLS, FL
34465-3506

Practice Phone: 352-746-3525
Practice Fax:

Directions to “ DR. KENNETH BERNARD BALLARD LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.