A Balanced Life: Individual, Family & Child Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

50196 Issued in CA

Legal business name

A BALANCED LIFE: INDIVIDUAL, FAMILY & CHILD THERAPY, INC.

Practice address

2100 Eloise Ave
South Lake Tahoe, CA 96150-4306

Phone

(530) 544-1748

Fax

(530) 544-1728

NPI assigned

Aug 24, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lindsay I Simon, LMFTNPI 1932459351

Title

Director

Phone

(530) 544-1748

Specialties & licenses 2

Addresses

Other names 1

• A Balanced Life Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsay I Simon, MA, MFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1932459351
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013297837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ELOISE AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961504306",
            "telephone_number": "530-544-1748",
            "fax_number": "530-544-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ELOISE AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961504306",
            "telephone_number": "530-544-1748",
            "fax_number": "530-544-1728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 Lake Tahoe Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961507726",
            "country_code": "US",
            "telephone_number": "530-544-1748",
            "fax_number": "530-544-1728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A BALANCED LIFE: INDIVIDUAL, FAMILY & CHILD THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "530-544-1748",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "50196",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Balanced Life",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Marriage & Family Therapist in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.