Organization Active NPI

Balanced Mental Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1013624402
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BALANCED MENTAL HEALTH INC
Practice address
15280 Durango Cir
Brooksville, FL 34604-5003
Phone
(727) 382-3538
Fax
(727) 416-7061
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Jasmin Perry, APRN, PMHNP-BC, FNPNPI 1376080333
Title
Owner/Provider
Phone
(727) 382-3538

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

15280 Durango Cir
Brooksville, FL 34604-5003

Mailing address

15280 Durango Cir
Brooksville, FL 34604-5003
Phone (727) 382-3538

Other identifiers 2

IdentifierTypeStateIssuer
2018080999OtherANCC PMHNP-BC CERTIFICATION
9311097OtherFLADVANCED PRACTICE REGISTERED NURSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jasmin@balancedmentalhealth.life

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1013624402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 DURANGO CIR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346045003",
            "telephone_number": "727-382-3538",
            "fax_number": "727-416-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15280 DURANGO CIR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346045003",
            "telephone_number": "727-382-3538",
            "fax_number": "727-416-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "727-382-3538",
        "authorized_official_credential": "APRN, PMHNP-BC, FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC PMHNP-BC CERTIFICATION",
            "identifier": "2018080999",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "9311097",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jasmin@balancedmentalhealth.life",
            "affiliation": "N",
            "address_1": "15280 Durango Cir",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346045003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.