Daniel Balva, PHD, NCC, CRC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

12049 Issued in FL

Practice address

4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187

Phone

(646) 453-6777

NPI assigned

Jun 5, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1346081908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 SALISBURY RD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SALISBURY RD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566187",
            "telephone_number": "646-453-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALVA",
        "first_name": "DANIEL",
        "credential": "PHD, NCC, CRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "12049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Balsley, COTA
• Jenny Ann Baltazar, ARNP
• Tiffany Baltiero, LMT
• Guadalupe Baltierra Jr.
• Caroline Balton
• Vin Shen Ban, MD
• Felix De Paz Banadera, MD
• Maura Anne Banar, BA, MA
• Joe Walker Bancroft Jr., M.D.
• Margaret Christie Bancroft, COTA

• Counseling Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.