Organization Active NPI

Simply Balanced Psychotherapy

  • Mental Health Counselor
  • Riverhead, NY
National Provider Identifier
1023967734
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SIMPLY BALANCED PSYCHOTHERAPY
Practice address
383 Church LN
Riverhead, NY 11901-5511
Phone
(631) 492-7495
NPI assigned
Jan 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
August Thilberg, LMHCNPI 1598319998
Title
Owner
Phone
(631) 492-7495

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

383 Church LN
Riverhead, NY 11901-5511

Mailing address

383 Church LN
Riverhead, NY 11901-5511
Phone (631) 492-7495

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": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1023967734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CHURCH LN",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119015511",
            "telephone_number": "631-492-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 CHURCH LN",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119015511",
            "telephone_number": "631-492-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY BALANCED PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "THILBERG",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-492-7495",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.