Organization Active NPI

Achieving Balance Counseling LLC

  • Mental Health Counselor
  • Puyallup, WA
National Provider Identifier
1396518841
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ACHIEVING BALANCE COUNSELING LLC
Practice address
12303 Meridian E Ste 200
Puyallup, WA 98373-3418
Phone
(253) 312-7729
NPI assigned
Nov 6, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Cara Martell, LICSW
Title
Owner
Phone
(253) 312-7729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

12303 Meridian E Ste 200
Puyallup, WA 98373-3418

Mailing address

20221 52ND Ave E
Spanaway, WA 98387-4779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240619000647 WA Part B Supplier - Clinic/Group Practice 9638612658 Receives reassigned benefits from 1 practitioner
Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory

Locations

12303 Meridian E
Ste 200
Puyallup, WA 98373
Phone (253) 312-7729

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": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1396518841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20221 52ND AVE E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983874779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 MERIDIAN E STE 200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733418",
            "telephone_number": "253-312-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVING BALANCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-312-7729",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.