CMS-1500 Box 24J / 33a • NPI
1851546667
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101YA0400X
Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)
Box 32 Service Location & ZIP+4
2600 HUMES RD STE 100, JANESVILLE, WI, 53545
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1851546667 (AMANDA L BALLARD, CSAC, SAC-IT, OT) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1851546667 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AMANDA L BALLARD, CSAC, SAC-IT, OT |
| Plain-English Specialty | Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) NUCC Code: 101YA0400X (Counselor, Addiction (Substance Use Disorder)) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2600 HUMES RD STE 100, JANESVILLE, WI, 53545 |
| Practice Telephone / Fax | Tel: (608) 741-2117 |
| Administrative Mailing Address | 29624 NETWORK PL, CHICAGO, IL, 60673-1296 |
| Enumeration & Last Sync | Enumerated: 2008-11-20 | CMS Record Updated: 2026-01-14 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (101YA0400X)
What Does Taxonomy Code 101YA0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YA0400X translates to:
"Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMANDA L BALLARD, CSAC, SAC-IT, OT)
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
- 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 |
|---|---|
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: WI | License: 18847-130 | Primary: Secondary |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: MN | License: 103657 | Primary: Secondary |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: WI | License: 5202-26 | Primary: Secondary |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: IL | License: 056008907 | Primary: Secondary |
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: WI | License: 17168-132 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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