NPIMap

Organization Active NPI

Ideal Balance PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kennewick, WA
National Provider Identifier
1013343474
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
IDEAL BALANCE PLLC
Practice address
8514 W Gage Blvd Ste G
Kennewick, WA 99336-8108
Phone
(509) 524-9903
Fax
(888) 745-2096
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Penny S BellNPI 1417179243
Title
Administrator
Phone
(509) 212-5674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

8514 W Gage Blvd Ste G
Kennewick, WA 99336-8108

Mailing address

8514 W Gage Blvd Ste G
Kennewick, WA 99336-8108
Phone (509) 524-9903

Other practice location 1

4301 Hoyt Ave
Everett, WA 98203-2316
Phone (509) 524-9903

Other identifiers 3

IdentifierTypeStateIssuer
61492395OtherWADOH LICENSE
61494502OtherWADOH BRANCH LICENSE
2035070MedicaidWA

National Provider Directory

National Provider Directory

Locations

16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711

1725 Continental Pl
Ste C
Mount Vernon, WA 98273
Phone (360) 208-8378

745 N Grand Ave
Apt 107
Pullman, WA 99163

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1013343474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 W GAGE BLVD STE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368108",
            "telephone_number": "509-524-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 W GAGE BLVD STE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368108",
            "telephone_number": "509-524-9903",
            "fax_number": "888-745-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Hoyt Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032316",
            "country_code": "US",
            "telephone_number": "509-524-9903",
            "fax_number": "888-745-2096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDEAL BALANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-212-5674"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LICENSE",
            "identifier": "61492395",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH BRANCH LICENSE",
            "identifier": "61494502",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035070",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.