New Balance Professional Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0011530 Issued in CO

Legal business name

NEW BALANCE PROFESSIONAL COUNSELING

Practice address

121 S Wilcox St
Suite E
Castle Rock, CO 80104-1910

Phone

(307) 421-6635

Fax

(720) 600-6792

NPI assigned

Jul 11, 2013

Last updated

Feb 22, 2016By 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

Erica Jolene Bellar, LPCNPI 1235301540

Title

Owner/Manager

Phone

(307) 421-6635

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

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.

• Erica J Bellar, MA LPC

  • Professional Counselor
  • Castle Rock, CO
  • NPI 1235301540
  Medicare reassignment NPD Authorized official
• Renee Michelle Cawley, M.S.C., LPC

  • Professional Counselor
  • Castle Rock, CO
  • NPI 1942460472
  NPD (past)
• Jenna Orosco, LPC

  • Professional Counselor
  • Boulder, CO
  • NPI 1497205231

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1427499003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S WILCOX ST",
            "address_2": "SUITE E",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041910",
            "telephone_number": "307-421-6635",
            "fax_number": "720-600-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WILCOX ST",
            "address_2": "SUITE E",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041910",
            "telephone_number": "307-421-6635",
            "fax_number": "720-600-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BALANCE PROFESSIONAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "BELLAR",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "JOLENE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "307-421-6635",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "0011530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.