Organization Active NPI

Balsam Behavioral Health, LLC

  • Case Management Agency
  • Virginia Beach, VA
National Provider Identifier
1174411250
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BALSAM BEHAVIORAL HEALTH, LLC
Practice address
913 First Colonial Rd
Virginia Beach, VA 23454-3198
Phone
(757) 288-0442
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Mandy Gaddis, QMHPNPI 1295623379
Title
Owner
Phone
(757) 288-0442

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

913 First Colonial Rd
Virginia Beach, VA 23454-3198

Mailing address

540 Conservancy Way Apt 105
Chesapeake, VA 23323-1334
Phone (757) 288-0442

National Provider Directory

National Provider Directory

Locations

913 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 288-0442

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": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1174411250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CONSERVANCY WAY APT 105",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231334",
            "telephone_number": "757-288-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543198",
            "telephone_number": "757-288-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALSAM BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "GADDIS",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-288-0442",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.