Organization Active NPI

Balance and Well Being LLC

  • Mental Health Counselor
  • East Northport, NY
National Provider Identifier
1053525808
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003745 Issued in NY
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Susan Lucia Montalbano, LMHC, CASACNPI 1093929820
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.