Organization Active NPI

Balance Breath LCSW PLLC

  • Clinical Social Worker
  • Amityville, NY
National Provider Identifier
1366385767
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BALANCE BREATH LCSW PLLC
Practice address
167 Broadway Ste 204
Amityville, NY 11701-2782
Phone
(631) 204-3257
NPI assigned
Apr 10, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Jamie Svenson, LCSWNPI 1992325146
Title
LCSW/Owner
Phone
(631) 204-3257

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

167 Broadway Ste 204
Amityville, NY 11701-2782

Mailing address

167 Broadway Ste 204
Amityville, NY 11701-2782
Phone (631) 204-3257

National Provider Directory

National Provider Directory

Locations

167 Broadway
Ste 204
Amityville, NY 11701
Phone (631) 204-3257

Practitioners & affiliated clinicians

Practitioners 2

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": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1366385767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 BROADWAY STE 204",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012782",
            "telephone_number": "631-204-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 BROADWAY STE 204",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012782",
            "telephone_number": "631-204-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE BREATH LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "SVENSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "631-204-3257",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.