Active NPI
Life Balance Counseling LLC
- Clinical Social Worker
- Washington, MO
National Provider Identifier
1184965675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2010041707
- Legal business name
- LIFE BALANCE COUNSELING LLC
- Practice address
- 426 E 5TH St
Washington, MO 63090-2811 - Phone
- (314) 660-7473
- NPI assigned
- Mar 7, 2013
- Last updated
- Mar 7, 2013
- 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
- Yael Y Diplacido-Eastman
- Title
- Sole MBR
- Phone
- (314) 660-7473
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2010041707 | MO | Primary |
Addresses
Primary practice location
426 E 5TH St
Washington, MO 63090-2811
Mailing address
426 E 5TH St
Washington, MO 63090-2811
Phone (314) 660-7473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Washington, MO
- NPI 1548534605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362614400000",
"number": "1184965675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 E 5TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630902811",
"telephone_number": "314-660-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 E 5TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630902811",
"telephone_number": "314-660-7473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE BALANCE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A",
"authorized_official_last_name": "DIPLACIDO-EASTMAN",
"authorized_official_first_name": "YAEL",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "314-660-7473"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2010041707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.