Back to Balance Counseling and Consulting PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BACK TO BALANCE COUNSELING AND CONSULTING PLLC

Practice address

1959 Dekalb Ave Ste a
Sycamore, IL 60178-3197

Phone

(630) 581-7877

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Megan CannonNPI 1265839997

Title

Owner

Phone

(630) 581-7877

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Megan Cannon, LCSW

  • Clinical Social Worker
  • Hinsdale, IL
  • NPI 1265839997

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1487409462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 DEKALB AVE STE A",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 DEKALB AVE STE A",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783197",
            "telephone_number": "630-581-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE COUNSELING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-581-7877"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Association for Individual Development
• Association for Individual Development
• Athletic and Industrial Medicine
• Ami Beth Atkins, MAT
• Jelmir Atkins, LPC
• Daniel Joseph Bade, DO
• Rugiatu Bah, PHARM.D.
• Constance Balles, PTA
• Elena Marie Balmaseda
• Brianna Jean Baltrusis

• All providers in Sycamore, IL
• Clinical Social Worker in Illinois

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