Kathy Le Ballek, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Los Angeles, CA. Individual provider (NPI-1).
NPI number1295545150
StatusActive
Last updated in NPPESJul 16, 2026
Details
- NPI
- 1295545150
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathy Le Ballek
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2025
- Certification date
- Jul 16, 2026
- Last updated
- Jul 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95033503 | CA | Yes |
Practice location
4137 Verdugo RdLos Angeles, CA 90065-3820
Phone 323-344-9255
Mailing address
4137 Verdugo RdLos Angeles, CA 90065-3820
Phone 323-344-9255
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