Organization Active NPI

Balanced Life Counseling

  • Clinical Social Worker
  • Brandon, FL
National Provider Identifier
1275473233
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BALANCED LIFE COUNSELING
Practice address
220 W Brandon Blvd Ste 203
Brandon, FL 33511-5100
Phone
(813) 755-2078
NPI assigned
Mar 30, 2026
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Miss Gisselle Diaz Roig, LCSWNPI 1922863893
Title
Therapist
Phone
(813) 755-2078

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

220 W Brandon Blvd Ste 203
Brandon, FL 33511-5100

Mailing address

1315 Oakfield Drive
PO Box 329
Brandon, FL 33509

National Provider Directory

National Provider Directory

Locations

1315 Oakfield Dr
Unit 329
Brandon, FL 33509

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1275473233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 OAKFIELD DRIVE",
            "address_2": "PO BOX 329",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W BRANDON BLVD STE 203",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115100",
            "telephone_number": "813-755-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "DIAZ ROIG",
        "authorized_official_first_name": "GISSELLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "813-755-2078",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.