Organization Active NPI

Balanced Path Counseling LTD

  • Professional Counselor
  • Geneva, IL
National Provider Identifier
1477071124
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-002664 Issued in IL
Legal business name
BALANCED PATH COUNSELING LTD
Practice address
825 W State St Ste 206
Geneva, IL 60134-2074
Phone
(630) 492-0991
NPI assigned
Sep 1, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sandy Lettieri, LCPCNPI 1265645519
Title
Sole Director/Psychotherapist
Phone
(630) 492-0991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180-002664 IL Primary

Addresses

Primary practice location

825 W State St Ste 206
Geneva, IL 60134-2074

Mailing address

825 W State St Ste 206
Geneva, IL 60134-2074
Phone (630) 492-0991

National Provider Directory

National Provider Directory

Locations

825 W State St
Ste 206
Geneva, IL 60134
Phone (630) 492-0991

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477071124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W STATE ST STE 206",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342074",
            "telephone_number": "630-492-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W STATE ST STE 206",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342074",
            "telephone_number": "630-492-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED PATH COUNSELING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LETTIERI",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "SOLE DIRECTOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "630-492-0991",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-002664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.