NPIMap

Organization Active NPI

Graceful Balance Christian Counseling

  • Professional Counselor
  • Westminster, MD
National Provider Identifier
1073234084
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRACEFUL BALANCE CHRISTIAN COUNSELING
Doing business as
Graceful Balance Wellness
Practice address
1812 Baltimore Blvd Ste C
Westminster, MD 21157-7144
Phone
(410) 861-0036
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Mrs. Brittany R Edie, LCPC, LPCNPI 1871898551
Title
Owner
Phone
(443) 789-9074

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 Primary

Addresses

Primary practice location

1812 Baltimore Blvd Ste C
Westminster, MD 21157-7144

Mailing address

9722 Groffs Mill Dr Ste 926
Owings Mills, MD 21117-6341
Phone (410) 861-0036

Other names 1

  • Graceful Balance Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

695 Hanover Pike
Ste Ab
Hampstead, MD 21074

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": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1073234084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 GROFFS MILL DR STE 926",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176341",
            "telephone_number": "410-861-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD STE C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577144",
            "telephone_number": "410-861-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL BALANCE CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "EDIE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-789-9074",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graceful Balance Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Graceful Balance Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.