Purebalance Health & Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PUREBALANCE HEALTH & WELLNESS LLC

Practice address

5310 Old Court Rd Ste 304
Randallstown, MD 21133-6202

Phone

(443) 400-5230

Fax

(410) 401-0221

NPI assigned

Aug 25, 2025

Organization subpart

No

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

Authorized official

Name

Chezo NojangNPI 1285231183

Title

President

Phone

(443) 280-3004

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chezo Nojang, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Randallstown, MD
  • NPI 1285231183
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1285512632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211330061",
            "telephone_number": "443-400-5230",
            "fax_number": "410-401-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD STE 304",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211336202",
            "telephone_number": "443-400-5230",
            "fax_number": "410-401-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREBALANCE HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "NOJANG",
        "authorized_official_first_name": "CHEZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-280-3004"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara A Powers, CRNA
• Premier Chiropractic and Injury Center, LLC
• Nicole Price
• Prime Resources LLC
• Julia Purchla
• Tahna Purnell, LCPC
• Lisa M Quarles, PA
• Michelle Palmer Queen, LCSW-C
• Shannon N Radomski, MD
• Iyabo Aminat Rafiu

• Mental Health Clinic/Center (Including Community Mental Health Center) in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.