Organization Active NPI

Into Balance, LLC

  • Professional Counselor
  • Lincoln, NE
National Provider Identifier
1104316264
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1123 Issued in NE
Legal business name
INTO BALANCE, LLC
Practice address
7257 Andy Dr
Lincoln, NE 68516-1021
Phone
(402) 853-2396
NPI assigned
May 15, 2018
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Richard Andrew Buss, MS ED, LIMHPNPI 1861719809
Title
Sole Member
Phone
(402) 853-2396

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 Counselor 101YP2500X 1123 NE Primary

Addresses

Primary practice location

7257 Andy Dr
Lincoln, NE 68516-1021

Mailing address

4910 Normal Blvd
Ste D
Lincoln, NE 68506-6300
Phone (402) 853-2396

Other identifiers 1

IdentifierTypeStateIssuer
10026635900MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1104316264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 NORMAL BLVD",
            "address_2": "STE D",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066300",
            "telephone_number": "402-853-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 ANDY DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161021",
            "telephone_number": "402-853-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTO BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "BUSS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "402-853-2396",
        "authorized_official_credential": "MS ED, LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026635900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.