Active NPI
Balanced Life Counseling Services, LLC
- Clinical Social Worker
- New Palestine, IN
National Provider Identifier
1306547732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BALANCED LIFE COUNSELING SERVICES, LLC
- Practice address
- 6375 W US Hwy 52
Suite 202
New Palestine, IN 46163-6375 - Phone
- (317) 742-9771
- NPI assigned
- Mar 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Marie Padgett, LCSW
- Title
- Manager
- Phone
- (317) 742-9771
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6375 W US Hwy 52
Suite 202
New Palestine, IN 46163-6375
Mailing address
PO Box 584
New Palestine, IN 46163-9524
Phone (317) 742-9771
National Provider Directory
National Provider DirectoryLocations
6375 W US Highway 52
Ste 202
New Palestine, IN 46163
Phone (317) 742-9771
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1306547732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 584",
"city": "NEW PALESTINE",
"state": "IN",
"postal_code": "461639524",
"telephone_number": "317-742-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6375 W US HWY 52",
"address_2": "SUITE 202",
"city": "NEW PALESTINE",
"state": "IN",
"postal_code": "461636375",
"telephone_number": "317-742-9771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED LIFE COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "PADGETT",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "317-742-9771",
"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 New Palestine, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.