NPIMap

Organization Active NPI

Balanced Living Counseling Center

  • Mental Health Counselor
  • Rome, GA
National Provider Identifier
1033656731
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005814 Issued in GA
Legal business name
BALANCED LIVING COUNSELING CENTER
Practice address
412 E 1St St
Rome, GA 30161
Phone
(706) 509-0130
Fax
(706) 237-6503
NPI assigned
Jan 20, 2017
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Catrin Jensen, LPCNPI 1851650675
Title
Owner
Phone
(706) 509-0130

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 Counselor 101YM0800X 005814 GA Primary

Addresses

Primary practice location

412 E 1St St
Rome, GA 30161

Mailing address

108 E 5TH Ave
Suite B
Rome, GA 30161
Phone (706) 509-0130

National Provider Directory

National Provider Directory

Locations

108 E 5th Ave
#B
Rome, GA 30161
Phone (706) 509-0130

13 E 2nd Ave
Rome, GA 30161

412 E 1st St
Rome, GA 30161
Phone (706) 235-6990

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1033656731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E 5TH AVE",
            "address_2": "SUITE B",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30161",
            "telephone_number": "706-509-0130",
            "fax_number": "706-237-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E 1ST ST",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30161",
            "telephone_number": "706-509-0130",
            "fax_number": "706-237-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIVING COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CATRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-509-0130",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "005814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.