Michelle E Balisi, MS, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2386 Faraday Ave Ste 140
Carlsbad, CA 92008-7222

Phone

(657) 215-0909

NPI assigned

Mar 11, 2019

Last updated

Dec 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lotus Rising Holistic Therapy Center a Marriage and Family Therapy Company

  • Marriage & Family Therapist
  • Carlsbad, CA
  • NPI 1174159875
  NPD
• New Haven Youth & Family Services, Inc

  • Case Management Agency
  • Vista, CA
  • NPI 1336201490
  NPD (past)

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1184182032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 FARADAY AVE STE 140",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087222",
            "telephone_number": "657-215-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 FARADAY AVE STE 140",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087222",
            "telephone_number": "657-215-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 W Los Angeles Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920833101",
            "country_code": "US",
            "telephone_number": "760-630-4065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALISI",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336201490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Balcar, RDH
• Monica Jean Balch
• Gemma Dulosa Balcita
• Virginia Ruby Balderas Shifflett
• Glenn Mark Balfour, M.D.
• Trevor William Ball
• Darion Ballard
• Reem Ballout, FNP-C
• Ryanne Balmediano
• Ellen Margaret Balsys-Murphy, MA

• Mental Health Counselor in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.