Balanced Dynamics Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BALANCED DYNAMICS COUNSELING PLLC

Practice address

9628 W State St
Star, ID 83669-5858

Phone

(208) 505-9229

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsi Kay Woodburn, MS, LCPCNPI 1326421520

Title

Owner/Counselor

Phone

(208) 505-9229

Specialties & licenses 1

Addresses

Locations

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.

• Kelsi Woodburn, LCPC

  • Mental Health Counselor
  • Star, ID
  • NPI 1326421520
  NPD Authorized official
• Kelsey M Willbur

  • Mental Health Counselor
  • Kuna, ID
  • NPI 1073322434
  NPD (past)

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1396589651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 N 58TH ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879634",
            "telephone_number": "208-629-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9628 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695858",
            "telephone_number": "208-505-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED DYNAMICS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "WOODBURN",
        "authorized_official_first_name": "KELSI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "208-505-9229",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allied Mental Health Services, P.L.L.C.
• Allied Mental Health Services, P.L.L.C.
• Allied Mental Health Services, P.L.L.C.
• Ami Owen PLLC
• Amanda Faye Appling
• Tanya Barnes, LCPC
• Diana Lyn Barrow
• Chad Sterling Barton, LMFT
• Beverlee K Furner, NP PLLC (Star Medical Center)
• Douglas Birkland

• Mental Health Counselor in Star, ID
• Providers in Star, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.