Active NPI
Balanced Life Counseling LLC
- Community/Behavioral Health Agency
- Fairfax, VA
National Provider Identifier
1164061727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BALANCED LIFE COUNSELING LLC
- Practice address
- 4041 University Dr Ste 200
Fairfax, VA 22030-3410 - Phone
- (202) 760-1998
- NPI assigned
- Dec 31, 2019
- 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
- Mary Arledge
- Title
- President
- Phone
- (202) 760-1998
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4041 University Dr Ste 200
Fairfax, VA 22030-3410
Mailing address
4041 University Dr Ste 200CR
Fairfax, VA 22030-3414
Phone (202) 760-1998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235175068 | Other | NPPES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4041 University Dr
Ste 200CR
Fairfax, VA 22030
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": "1577750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750118400000",
"number": "1164061727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 UNIVERSITY DR STE 200CR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303414",
"telephone_number": "202-760-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 UNIVERSITY DR STE 200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303410",
"telephone_number": "202-760-1998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED LIFE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-31",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A",
"authorized_official_last_name": "ARLEDGE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "202-760-1998"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1235175068",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.