NPIMap

Organization Active NPI

Urban Balance Therapy and Consulting LLC

  • Mental Health Counselor
  • East Moline, IL
National Provider Identifier
1366071292
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
URBAN BALANCE THERAPY AND CONSULTING LLC
Practice address
723 15TH Avenue
East Moline, IL 61244-9998
Phone
(309) 737-9263
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Ms. Farah E Anderson, LCPCNPI 1487208104
Title
Owner/LCPC
Phone
(309) 737-9263

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

723 15TH Avenue
East Moline, IL 61244-9998

Mailing address

723 15TH Avenue
East Moline, IL 61244-9998
Phone (309) 737-9263

National Provider Directory

National Provider Directory

Locations

1033 7th St
Ste 104
East Moline, IL 61244
Phone (309) 316-3500

Practitioners & affiliated clinicians

Practitioners 6

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": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1366071292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 15TH AVENUE",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612449998",
            "telephone_number": "309-737-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 15TH AVENUE",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612449998",
            "telephone_number": "309-737-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN BALANCE THERAPY AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/LCPC",
        "authorized_official_telephone_number": "309-737-9263",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.