Organization Active NPI

Life Balance

  • Professional Counselor
  • Cheshire, CT
National Provider Identifier
1346566650
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001671 Issued in CT
Legal business name
LIFE BALANCE
Practice address
408 Highland Ave
Building a Office #8
Cheshire, CT 06410-2525
Phone
(203) 982-4418
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Mrs. Elizabeth Joan Prete, LPC
Title
Therapist
Phone
(203) 982-4418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 001671 CT Primary

Addresses

Primary practice location

408 Highland Ave
Building a Office #8
Cheshire, CT 06410-2525

Mailing address

408 Highland Ave
Building a Office #8
Cheshire, CT 06410-2525
Phone (203) 982-4418

Other identifiers 1

IdentifierTypeStateIssuer
1013067354OtherCTNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

408 Highland Ave
Ste A8
Cheshire, CT 06410
Phone (203) 800-3404

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1346566650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGHLAND AVE",
            "address_2": "BUILDING A OFFICE #8",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102525",
            "telephone_number": "203-982-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 HIGHLAND AVE",
            "address_2": "BUILDING A OFFICE #8",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102525",
            "telephone_number": "203-982-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "PRETE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "203-982-4418",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1013067354",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.