TRACY J BALOUN, DT — NPI 1376728931 (Licensed & Credentialed Developmental Therapist in WHEELING, IL)

CMS-1500 Box 24J / 33a • NPI

1376728931

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

222Q00000X

Licensed & Credentialed Developmental Therapist

Box 32 Service Location & ZIP+4

509 LONGTREE DRIVE, WHEELING, IL, 60090

Official NPPES Practice Location

Practice Phone & Referral Fax

(847) 947-2102

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1376728931 (TRACY J BALOUN, DT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1376728931` (NPI-1 Individual Practitioner)
Provider / Legal Name	TRACY J BALOUN, DT
Plain-English Specialty	Licensed & Credentialed Developmental Therapist NUCC Code: `222Q00000X` (Developmental Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	509 LONGTREE DRIVE, WHEELING, IL, 60090
Practice Telephone / Fax	Tel: (847) 947-2102
Administrative Mailing Address	509 LONGTREE DRIVE, WHEELING, IL, 60090
Enumeration & Last Sync	Enumerated: 2008-01-02 \| CMS Record Updated: 2008-01-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

509 LONGTREE DRIVE, WHEELING, IL, 60090

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Plain-English Taxonomy & CMS Crosswalk (222Q00000X)

What Does Taxonomy Code 222Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 222Q00000X translates to:
"Licensed & Credentialed Developmental Therapist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Developmental Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TRACY J BALOUN, DT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`222Q00000X` — Developmental Therapist Plain English: Licensed & Credentialed Developmental Therapist	State: IL \| License: `JB64100107P` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TRACY J BALOUN, DT (NPI #1376728931)