Mending Hearts Counseling and Consultation Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENDING HEARTS COUNSELING AND CONSULTATION SERVICES LLC

Practice address

113 Sumner St
Cresson, PA 16630-2118

Phone

(814) 937-1321

NPI assigned

Apr 24, 2020

Organization subpart

No

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

Authorized official

Name

Bobie-Jo Balzano, LCSWNPI 1053666404

Title

Owner

Phone

(814) 937-1321

Specialties & licenses 1

Addresses

Other names 1

• Mending Hearts Counseling and Consultation Services LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bobie-Jo Balzano, MSW, LCSW

  • Clinical Social Worker
  • Cresson, PA
  • NPI 1053666404
  NPD Authorized official

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1144840653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 KID LONG RD",
            "city": "GALLITZIN",
            "state": "PA",
            "postal_code": "166418507",
            "telephone_number": "814-937-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SUMNER ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166302118",
            "telephone_number": "814-937-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HEARTS COUNSELING AND CONSULTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "BALZANO",
        "authorized_official_first_name": "BOBIE-JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-937-1321",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mending Hearts Counseling and Consultation Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Cresson, PA
• Providers in Cresson, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.