NPIMap

Organization Active NPI

Life Balance Counseling and Wellness, LLC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1255856613
Registry record updated May 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007736 Issued in PA
Legal business name
LIFE BALANCE COUNSELING AND WELLNESS, LLC
Practice address
823 Filmore Ave
Erie, PA 16505-4127
Phone
(814) 580-9167
Fax
(866) 273-3056
NPI assigned
Aug 7, 2017
Last updated
May 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2024

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

Authorized official

Name
Marlo TorrelliNPI 1912316068
Title
Owner/ Ceo
Phone
(814) 580-9167

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
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X PC007736 PA Primary

Addresses

Primary practice location

823 Filmore Ave
Erie, PA 16505-4127

Mailing address

823 Filmore Ave
Erie, PA 16505-4127
Phone (814) 580-9167

Other practice location 1

2820 W 21st St
Erie, PA 16506-2983
Phone (814) 273-9773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240413000044 PA Part B Supplier - Clinic/Group Practice 9739523309 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

2820 W 21st St
Erie, PA 16506
Phone (814) 323-6321

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716681600000",
    "number": "1255856613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 FILMORE AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054127",
            "telephone_number": "814-580-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 FILMORE AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054127",
            "telephone_number": "814-580-9167",
            "fax_number": "866-273-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165062983",
            "country_code": "US",
            "telephone_number": "814-273-9773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE BALANCE COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A",
        "authorized_official_last_name": "TORRELLI",
        "authorized_official_first_name": "MARLO",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "814-580-9167"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; 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.

Verify at the official NPI Registry.