Your Life in Balance, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

YOUR LIFE IN BALANCE, LLC

Practice address

5021 Northfield Dr
Gibsonia, PA 15044-8003

Phone

(304) 215-1122

NPI assigned

Jan 15, 2025

Organization subpart

No

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

Authorized official

Name

Tonya Klein-JacksonNPI 1578921540

Title

Owner

Phone

(304) 794-9724

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tonya Klein-Jackson

  • Counselor
  • Gibsonia, PA
  • NPI 1578921540

  Mental Health, OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1437960739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CHARLES ST",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701032",
            "telephone_number": "304-794-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 NORTHFIELD DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448003",
            "telephone_number": "304-215-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR LIFE IN BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "KLEIN-JACKSON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-794-9724"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Wright
• Lydia Ann Wudarczyk, PHARMD
• Jamie Dale Wyels, R.PH.
• Jacqueline D Yancey, DO
• Mary Beth Yates, LCSW
• Eugene James Zappa, PT
• Xuan Zhao, MD, DPT
• Austin Bernard Zydel, PHARMD

• Mental Health Counselor in Gibsonia, PA
• Providers in Gibsonia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.