NPIMap

Organization Active NPI

A Balanced Life LLC

  • Community/Behavioral Health Agency
  • Burleson, TX
National Provider Identifier
1366000754
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A BALANCED LIFE LLC
Practice address
1322 NW John Jones Dr
Burleson, TX 76028-8040
Phone
(682) 224-6218
Fax
(817) 887-4157
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Ms. Jessica Rashell VirgilNPI 1710512173
Title
Owner
Phone
(682) 221-4259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1322 NW John Jones Dr
Burleson, TX 76028-8040

Mailing address

1322 NW John Jones Dr
Burleson, TX 76028-8040
Phone (682) 224-6218

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, 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": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1366000754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 NW JOHN JONES DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288040",
            "telephone_number": "682-224-6218",
            "fax_number": "817-887-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 NW JOHN JONES DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288040",
            "telephone_number": "682-224-6218",
            "fax_number": "817-887-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BALANCED LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "VIRGIL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RASHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-221-4259",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.