Active NPI
Into Balance, LLC
- Professional Counselor
- Lincoln, NE
National Provider Identifier
1104316264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1123
- 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, 2024
- 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
- Richard Andrew Buss, MS ED, LIMHP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026635900 | Medicaid | NE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Lincoln, NE
- NPI 1861719809
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
- Integrated Roots Support Services LLC
- Integrative Health and Wellness
- Integrity Ride LLC
- Intentions Psychotherapy PC (Intentions Psychotherapy)
- Interim Healthcare of Lincoln, LLC
- Intrepid America-Nebraska Inc (Intrepid USA Healthcare Services)
- Intuitive Insight & Therapy LLC
- Michelle Marie Inzauro, DNP, APRN
- Ayesha Iqbal
- Haroon Iqbal, M.D.
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.