NPIMap

Organization Active NPI

About Balance Mental Health, LLC

Doing business as About Balance Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
National Provider Identifier
1295148963
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP-1150A Issued in ID
Legal business name
ABOUT BALANCE MENTAL HEALTH, LLC
Doing business as
About Balance Mental Health
Practice address
6550 W Emerald St
Suite 108
Boise, ID 83704-8780
Phone
(208) 342-6300
Fax
(208) 342-6301
NPI assigned
Jun 10, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Marzena Zajda, LCPCNPI 1730476912
Title
Owner/Clinical Supervisior
Phone
(208) 342-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP-1150A ID Primary

Addresses

Primary practice location

6550 W Emerald St
Suite 108
Boise, ID 83704-8780

Mailing address

6550 W Emerald St
Suite 108
Boise, ID 83704-8780
Phone (208) 342-6300

Other names 1

  • About Balance Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

6550 W Emerald St
Ste 108
Boise, ID 83704
Phone (208) 342-6300

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": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1295148963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 W EMERALD ST",
            "address_2": "SUITE 108",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048780",
            "telephone_number": "208-342-6300",
            "fax_number": "208-342-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 W EMERALD ST",
            "address_2": "SUITE 108",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048780",
            "telephone_number": "208-342-6300",
            "fax_number": "208-342-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT BALANCE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "ZAJDA",
        "authorized_official_first_name": "MARZENA",
        "authorized_official_title_or_position": "OWNER/CLINICAL SUPERVISIOR",
        "authorized_official_telephone_number": "208-342-6300",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-1150A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "About Balance Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.