NPIMap

Organization Active NPI

Balanced Living Counseling

  • Professional Counselor
  • Towson, MD
National Provider Identifier
1043748668
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5639 Issued in MD
Legal business name
BALANCED LIVING COUNSELING
Practice address
1010 Dulaney Valley Rd
Towson, MD 21204-2702
Phone
(410) 567-1117
NPI assigned
May 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Dr. Heidi Schreiber-Pan, LCPCNPI 1134510746
Title
Clinical Director
Phone
(443) 695-2834

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LC5639 MD Primary

Addresses

Primary practice location

1010 Dulaney Valley Rd
Towson, MD 21204-2702

Mailing address

4101 Kincaid Rd
Baldwin, MD 21013-9609
Phone (443) 695-2834

Other identifiers 2

IdentifierTypeStateIssuer
896691MedicaidMD
BX90-0000OtherMDCAREFIRST BLUECROSS BLUESHIELD

Other names 1

  • Chesapeake Mental Health Collaborative Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1043748668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 KINCAID RD",
            "city": "BALDWIN",
            "state": "MD",
            "postal_code": "210139609",
            "telephone_number": "443-695-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DULANEY VALLEY RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042702",
            "telephone_number": "410-567-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIVING COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER-PAN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "443-695-2834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896691",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS BLUESHIELD",
            "identifier": "BX90-0000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Mental Health Collaborative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.