Individual provider Active NPI

Britany Balch, MA, LMFT

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1215410980
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MT4707 Issued in FL
Practice address
1035 S Semoran Blvd Ste 2-1047
Winter Park, FL 32792-5526
Phone
(321) 401-7026
Fax
(321) 401-7026
NPI assigned
Sep 10, 2018
Reactivated
Aug 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Mental Health Counselor 101YM0800X MT4707 FL Primary

Addresses

Primary practice location

1035 S Semoran Blvd Ste 2-1047
Winter Park, FL 32792-5526

Mailing address

840 Lombard St Apt 209
Orlando, FL 32807-5251
Phone (772) 240-2973

Other practice location 1

809 Patrick St
Kissimmee, FL 34741-5639
Phone (321) 401-7026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MT4707FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1215410980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 LOMBARD ST APT 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328075251",
            "telephone_number": "772-240-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S SEMORAN BLVD STE 2-1047",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925526",
            "telephone_number": "321-401-7026",
            "fax_number": "321-401-7026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Patrick St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347415639",
            "country_code": "US",
            "telephone_number": "321-401-7026",
            "fax_number": "321-401-7026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALCH",
        "first_name": "BRITANY",
        "name_prefix": "Miss",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "deactivation_date": "2023-07-21",
        "reactivation_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT4707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.