NPIMap

Organization Active NPI

B Balanced Counseling & Wellness, PLLC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1285267724
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
B BALANCED COUNSELING & WELLNESS, PLLC
Practice address
939 Burke St Ste F
Winston Salem, NC 27101-2575
Phone
(336) 607-5822
Fax
(336) 346-8130
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Brittany Todd, MA.ED., LCMHC
Title
Owner / Lcmhc
Phone
(336) 607-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

939 Burke St Ste F
Winston Salem, NC 27101-2575

Mailing address

939 Burke St Ste F
Winston Salem, NC 27101-2575
Phone (336) 607-5822

Other identifiers 2

IdentifierTypeStateIssuer
PC15482OtherNCPROFESSIONAL COUNSELING CORPORATION
13669OtherNCLICENSED CLINICAL MENTAL HEALTH COUNSELOR

National Provider Directory

National Provider Directory

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": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1285267724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 BURKE ST STE F",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012575",
            "telephone_number": "336-607-5822",
            "fax_number": "336-346-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 BURKE ST STE F",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012575",
            "telephone_number": "336-607-5822",
            "fax_number": "336-346-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B BALANCED COUNSELING & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER / LCMHC",
        "authorized_official_telephone_number": "336-607-5822",
        "authorized_official_credential": "MA.ED., LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELING CORPORATION",
            "identifier": "PC15482",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL MENTAL HEALTH COUNSELOR",
            "identifier": "13669",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.