Modern Balance Integrative Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MODERN BALANCE INTEGRATIVE THERAPY, LLC

Doing business as

Modern Balance Integrative Therapy
The Modern BIT

Practice address

589 Beaconsfield Ave
Naperville, IL 60565-4311

Phone

(623) 826-2771

NPI assigned

Aug 24, 2024

Last updated

Aug 24, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MODERN BALANCE INTEGRATIVE THERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Alexandra Martin Colaianni, MS, MSW, LCSWNPI 1366956237

Title

Founder

Phone

(623) 826-2771

Specialties & licenses 6

Addresses

Other names 2

• Modern Balance Integrative Therapy Doing business as
• The Modern BIT Doing business as

Part of

Modern Balance Integrative Therapy LLC

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.

• Alexandra Colaianni, MS, LCSW

  • Clinical Social Worker
  • Hinsdale, IL
  • NPI 1366956237

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1396578241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 BEACONSFIELD AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605654311",
            "telephone_number": "623-826-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 BEACONSFIELD AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605654311",
            "telephone_number": "623-826-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN BALANCE INTEGRATIVE THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MODERN BALANCE INTEGRATIVE THERAPY, LLC",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "COLAIANNI",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "623-826-2771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Balance Integrative Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Modern BIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Marie Mize, RN
• Mjddds, PLLC (Caputo Dental)
• Jillian Mlinarcik, D.C
• MMF
• Kristin Moctezuma, DPT
• Modern Thoughts PLLC
• Aalap Modi
• Daxa Modi, PHARMD
• Simoli Dhaval Modi, PT
• Modify, P.C.

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.