NPIMap

Organization Active NPI

My Balanced Life, LLC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1336457365
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC1674 Issued in AZ
Legal business name
MY BALANCED LIFE, LLC
Practice address
2060 W Whispering Wind Dr
Suite 264
Phoenix, AZ 85085-2867
Phone
(623) 551-4332
NPI assigned
Sep 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Kari Anderson, LPCNPI 1205161585
Title
Licensed Professional Counselor
Phone
(623) 551-4332

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
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LPC1674 AZ Primary

Addresses

Primary practice location

2060 W Whispering Wind Dr
Suite 264
Phoenix, AZ 85085-2867

Mailing address

41556 N Clear Crossing Rd
Anthem, AZ 85086-1079
Phone (623) 551-4332

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.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1336457365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41556 N CLEAR CROSSING RD",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861079",
            "telephone_number": "623-551-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 W WHISPERING WIND DR",
            "address_2": "SUITE 264",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852867",
            "telephone_number": "623-551-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BALANCED LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "623-551-4332",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC1674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.