Balancing Minds Counseling Center LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BALANCING MINDS COUNSELING CENTER LLC

Practice address

875 Springmill St
Mansfield, OH 44906-2045

Phone

(419) 610-9570

NPI assigned

Mar 28, 2022

Last updated

Mar 2, 2023By 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

Mr. Fred Grant Jr., LPCC

Title

Owner

Phone

(419) 610-9570

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1457001919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 SPRINGMILL ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062045",
            "telephone_number": "419-610-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 SPRINGMILL ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062045",
            "telephone_number": "419-610-9570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 N Main St Ste 801",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449021700",
            "country_code": "US",
            "telephone_number": "419-610-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCING MINDS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-610-9570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra S Baker
• Kaylen Paige Baker
• Kendal Nicole Baker
• Shannon Baker, DO
• Susan Kay Baker, NP
• Jessie Marie Baldwin, LPN
• Deborah Sue Balliett Veley, LISW, LNHA
• William Scott Ballinger, M.D.
• Brian Ballitch, DC
• Deborah Ann Ballmeyer

• Professional Counselor in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.