Balanced Living Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BALANCED LIVING THERAPY, LLC

Practice address

7500 212TH St SW Ste 205
Edmonds, WA 98026-7617

Phone

(425) 977-4988

NPI assigned

Apr 13, 2013

Last updated

Mar 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maggie C Ishaq, MS, LMHC, SUDP, CCFNPI 1306045604

Title

Owner/Licensed Mental Health Couns

Phone

(425) 977-4988

Specialties & licenses 6

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 26

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.

• Maggie C Ishaq, MS, LMHC, SUDP, CCS

  • Marriage & Family Therapist
  • Edmonds, WA
  • NPI 1306045604

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Jesse C Dunn, LMHC

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1679037386
  Medicare reassignment NPD
• Enas Hamid Albar

  • Student in an Organized Health Care Education/Training Program
  • Edmonds, WA
  • NPI 1144833526
  NPD
• Lea Fingerhut

  • Student in an Organized Health Care Education/Training Program
  • Edmonds, WA
  • NPI 1821638818
  NPD
• Kylee Hellstern

  • Student in an Organized Health Care Education/Training Program
  • Edmonds, WA
  • NPI 1649810631
  NPD
• Jessica Marie

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1710448444
  NPD
• Tara Ann Mounts, MACP

  • Mental Health Counselor
  • Auburn, WA
  • NPI 1275059446

  Addiction (Substance Use Disorder)

  NPD
• Kristina Lyn Reddy

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1558244863
  NPD
• Gwen G. Sipes, LMT, LMP, LMHCA

  • Mental Health Counselor
  • Freeland, WA
  • NPI 1295961720
  NPD
• Dylan Olivia Tizon

  • Counselor
  • Edmonds, WA
  • NPI 1265161517
  NPD
• Elizabeth Wareing

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1487528378
  NPD
• Joan S Anderson, MA, LMHC

  • Mental Health Counselor
  • Silverdale, WA
  • NPI 1356879597
  NPD (past)

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

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711756800000",
    "number": "1063855609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267617",
            "telephone_number": "425-977-4988",
            "fax_number": "425-977-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267617",
            "telephone_number": "425-977-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIVING THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-13",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A",
        "authorized_official_last_name": "ISHAQ",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/LICENSED MENTAL HEALTH COUNS",
        "authorized_official_telephone_number": "425-977-4988",
        "authorized_official_credential": "MS, LMHC, SUDP, CCF"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "909035",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE HEALTH PLAN OF WASHINGTON",
            "identifier": "1950283",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "1253932",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN OF WASHINGTON",
            "identifier": "1554873",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFEWISE OF WA",
            "identifier": "912650",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150671",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE HEALTH NETWORK",
            "identifier": "909040",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH CARE OF WASHINGTON",
            "identifier": "1560659",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARPENTERS HEALTH AND SECURITY PLAN",
            "identifier": "916313",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Rayne Bailey-McComb, LMP
• Larry William Bailey, PH.D.
• Rattanjit K Bains, DMD
• Jessica Esther Baird, MA, LMHC
• Amanda Rachel Baker, LMP
• Samantha Baneth
• Ebrima Bangura
• Felix Bankston
• Alexis Baranov, LMP
• Barb a Anderson, LMHC, LLC

• Community/Behavioral Health Agency in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.