NPIMap

Organization Active NPI

Peace Balance and Joy Consulting

  • Mental Health Counselor
  • Enoch, UT
National Provider Identifier
1366905614
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEACE BALANCE AND JOY CONSULTING
Practice address
476 E Midvalley Rd # a
Enoch, UT 84721-7603
Phone
(435) 590-4417
NPI assigned
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Amy Marie Nielson, CMHCNPI 1851500623
Title
President
Phone
(435) 590-4417

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

476 E Midvalley Rd # a
Enoch, UT 84721-7603

Mailing address

4905 N Horseshoe Dr
Enoch, UT 84721-7894
Phone (435) 590-4417

Other names 1

  • PBandJ Consulting Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210824002643 UT Part B Supplier - Clinic/Group Practice 2365847605 Receives reassigned benefits from 2 practitioners
Practice locations: Enoch, UT

National Provider Directory

National Provider Directory

Locations

2069 N Main St
Ste 101
Cedar City, UT 84721
Phone (435) 267-4212

476 E Midvalley Rd
#A
Enoch, UT 84721
Phone (435) 590-4417

Practitioners & affiliated clinicians

Practitioners 9

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": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1366905614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 N HORSESHOE DR",
            "city": "ENOCH",
            "state": "UT",
            "postal_code": "847217894",
            "telephone_number": "435-590-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 E MIDVALLEY RD # A",
            "city": "ENOCH",
            "state": "UT",
            "postal_code": "847217603",
            "telephone_number": "435-590-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE BALANCE AND JOY CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-590-4417",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PBandJ Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enoch, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.