Leo Timothy Michael Balseiro, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16973 Issued in FL

Practice address

1375 Gateway Blvd
Boynton Beach, FL 33426-8304

Phone

(954) 317-9032

NPI assigned

Jan 12, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Barry University School of Podiatric Medicine, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Better Selves Counseling Services Inc

  • Adult Mental Health Clinic/Center
  • Pompano Beach, FL
  • NPI 1023750916
  NPD Authorized official

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

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1043850696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 CYPRESS REACH CT APT 306",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694906",
            "telephone_number": "786-879-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 GATEWAY BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268304",
            "telephone_number": "954-317-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSEIRO",
        "first_name": "LEO",
        "middle_name": "TIMOTHY MICHAEL",
        "credential": "LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-12",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Escobar Baker
• Penny L Baker, RDN
• Sharonda Balam
• Tamara Faith Baldwin-Soares
• Richard Ball, PA
• Daniel Alexander Baluch, MD
• Bam Healthcare Aberdeen LLC
• Janina Banas-Styperek, M.D.
• Rodrigo Banegas, MD
• Baptist Health Surgery Center LLC

• Mental Health Counselor in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.