MEDICARE: SHANE BALL LPC

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	116044	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922146307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANE BALL LPC

Provider Business Mailing Address
First Line	:	7033 E TUDOR RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-1262
Country	:	US
Telephone Number	:	907-729-8961
Fax Number	:	907-729-5180

Provider Business Practice Location Address
First Line	:	4000 LAUREL ST
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5333
Country	:	US
Telephone Number	:	907-729-6300
Fax Number	:

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	10/01/2025

Similar Medicare Providers

1912013160 — DIALYSIS ASSOCIATES OF ALASKA, LLC
Practice Location Address:

3950 LAUREL ST
ANCHORAGE, AK
99508-5333

Practice Phone: 907-261-4840
Practice Fax: 469-833-4858

1902877251 — MICHELE O'FALLON M.D.
Practice Location Address:

4048 LAUREL ST
ANCHORAGE, AK
99508-5333

Practice Phone: 907-770-7800
Practice Fax: 907-929-4660

1710958061 — LAURIE MONTANO M.D.
Practice Location Address:

4048 LAUREL ST
ANCHORAGE, AK
99508-5333

Practice Phone: 907-770-7800
Practice Fax: 907-929-4660

1508835299 — ALASKA DIGESTIVE CENTER, LLC
Practice Location Address:

4048 LAUREL ST , SUITE 103A
ANCHORAGE, AK
99508-5333

Practice Phone: 907-563-1750
Practice Fax: 907-550-4403

1487608659 — SOUTHCENTRAL FOUNDATION
Practice Location Address:

4000 LAUREL ST
ANCHORAGE, AK
99508-5333

Practice Phone: 907-729-6300
Practice Fax:

1528094968 — MELODIE ISGRO MD
Practice Location Address:

4000 LAUREL ST
ANCHORAGE, AK
99508-5333

Practice Phone: 907-729-6300
Practice Fax: 907-729-6314

Directions to “ SHANE BALL LPC” 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.