Active NPI
Balance and Well Being LLC
- Mental Health Counselor
- East Northport, NY
National Provider Identifier
1053525808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 003745
- Legal business name
- BALANCE AND WELL BEING LLC
- Practice address
- 514 Larkfield Rd
Suite 4a
East Northport, NY 11731-4211 - Phone
- (631) 368-0354
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan Lucia Montalbano, LMHC, CASAC
- Title
- Owner
- Phone
- (631) 368-0354
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 003745 | NY | Primary |
Addresses
Primary practice location
514 Larkfield Rd
Suite 4a
East Northport, NY 11731-4211
Mailing address
514 Larkfield Rd
Suite 4a
East Northport, NY 11731-4211
Phone (631) 368-0354
National Provider Directory
National Provider DirectoryLocations
514 Larkfield Rd
Ste 4A
East Northport, NY 11731
Phone (631) 368-0354
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- East Northport, NY
- NPI 1093929820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053525808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 LARKFIELD RD",
"address_2": "SUITE 4A",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314211",
"telephone_number": "631-368-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 LARKFIELD RD",
"address_2": "SUITE 4A",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314211",
"telephone_number": "631-368-0354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE AND WELL BEING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MONTALBANO",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "LUCIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-368-0354",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC, CASAC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "003745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.