Theodore Ball
NPI 1225669427 · Mental Health Counselor · Lexington, KY
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Ball is a Mental Health Counselor provider in Lexington, KY (NPI 1225669427).
Provider details
- NPI number
- 1225669427
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 261942 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
94 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 53 | $96 |
| Psychotherapy, 45 Minutes90834 | 30 | $65 |
| Psychiatric Diagnostic Evaluation90791 | 11 | $107 |
Typical Medicare-allowed amounts for these services range $65–$107 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-01-28
- Last updated
- 2020-01-28
- Certified
- 2020-01-28
Frequently asked questions
- What is Theodore Ball's NPI number?
- Theodore Ball's National Provider Identifier (NPI) is 1225669427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Ball's specialty?
- Theodore Ball is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Theodore Ball located?
- Theodore Ball's practice location on file with NPPES is 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277.
- What is Theodore Ball's phone number?
- The practice phone number listed in the NPPES registry for Theodore Ball is (859) 253-1686.
- Does Theodore Ball accept Medicare?
- Theodore Ball is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Ball's NPI active?
- Yes — Theodore Ball's NPI (1225669427) is active in the NPPES registry as of the last update on 2020-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.