NPIMap

Organization Active NPI

Peaceful Balance Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Wilmington, NC
National Provider Identifier
1184368680
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PEACEFUL BALANCE COUNSELING, PLLC
Practice address
4900 Randall Pkwy Ste J
Wilmington, NC 28403-2831
Phone
(910) 216-9113
NPI assigned
Apr 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Melissa G Kemlage, MED, LCMHCNPI 1861779993
Title
Owner/Psychotherapist
Phone
(508) 273-5542

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4900 Randall Pkwy Ste J
Wilmington, NC 28403-2831

Mailing address

801 Windgate Dr
Wilmington, NC 28412-3086
Phone (508) 273-5542

Other names 1

  • Melissa Kemlage Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1184368680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WINDGATE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123086",
            "telephone_number": "508-273-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 RANDALL PKWY STE J",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032831",
            "telephone_number": "910-216-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL BALANCE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "KEMLAGE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "508-273-5542",
        "authorized_official_credential": "MED, LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Kemlage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.