Organization Active NPI

Balanced Health and Wellness, LLC

  • Chiropractor
  • Berkley, MI
National Provider Identifier
1316147705
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BALANCED HEALTH AND WELLNESS, LLC
Practice address
2770 Coolidge Hwy
Berkley, MI 48072-1557
Phone
(248) 397-8122
Fax
(248) 928-1184
NPI assigned
Jul 23, 2007
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Dr. Sarah Nicole Kirsch, D.C.NPI 1154528438
Title
General Member
Phone
(248) 921-1124

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2770 Coolidge Hwy
Berkley, MI 48072-1557

Mailing address

2770 Coolidge Hwy
Berkley, MI 48072-1557
Phone (248) 397-8122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927000645 MI Part B Supplier - Clinic/Group Practice 2769577303 Receives reassigned benefits from 3 practitioners
Practice locations: Berkley, MI

National Provider Directory

National Provider Directory

Locations

2770 Coolidge Hwy
Berkley, MI 48072
Phone (248) 397-8122

24120 Meadowbrook Rd
Ste 200
Novi, MI 48375
Phone (248) 477-2100

Practitioners & affiliated clinicians

Practitioners 5

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1316147705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721557",
            "telephone_number": "248-397-8122",
            "fax_number": "248-928-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721557",
            "telephone_number": "248-397-8122",
            "fax_number": "248-928-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "GENERAL MEMBER",
        "authorized_official_telephone_number": "248-921-1124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.