Individual provider Active NPI

Nathalye Carolina Balistrire, LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1023449501
Registry record updated Jun 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014010 Issued in CO
Practice address
2204 N Emerson St
Denver, CO 80205-5127
Phone
(970) 424-4061
NPI assigned
Dec 9, 2013
Last updated
Jun 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC.0014010 CO Primary

Addresses

Primary practice location

2204 N Emerson St
Denver, CO 80205-5127

Mailing address

2204 N Emerson St
Denver, CO 80205-5127
Phone (970) 424-4061

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL denver Health Information Exchange (HIE) Mindsolutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112000863 CO Practitioner - Mental Health Counselor 6608267364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0014010COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindsolutions Mental Health CurrentSince Jun 16, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1023449501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 N EMERSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055127",
            "telephone_number": "970-424-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 N EMERSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055127",
            "telephone_number": "970-424-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALISTRIRE",
        "first_name": "NATHALYE",
        "middle_name": "CAROLINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "denver",
            "affiliation": "Y",
            "endpointDescription": "mindsolutions.llc@outlook.com",
            "affiliationName": "Mindsolutions",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mindsolutions.llc@outlook.com",
            "address_1": "2204 N Emerson St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802055127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.