Organization Active NPI

Balance Healing Group LLC

  • Professional Counselor
  • Danbury, CT
National Provider Identifier
1508254772
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2461 Issued in CT
Legal business name
BALANCE HEALING GROUP LLC
Practice address
152 Deer Hill Ave
Suite 119
Danbury, CT 06810-7791
Phone
(203) 885-8723
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Michele Maynard, LPC
Title
Owner
Phone
(203) 885-8723

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1011 CT
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2461 CT Primary

Addresses

Primary practice location

152 Deer Hill Ave
Suite 119
Danbury, CT 06810-7791

Mailing address

152 Deer Hill Ave
Suite 119
Danbury, CT 06810-7791
Phone (203) 885-8723

National Provider Directory

National Provider Directory

Locations

152 Deer Hill Ave
Ste 119
Danbury, CT 06810
Phone (203) 798-0009

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1508254772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 DEER HILL AVE",
            "address_2": "SUITE 119",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107791",
            "telephone_number": "203-885-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 DEER HILL AVE",
            "address_2": "SUITE 119",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107791",
            "telephone_number": "203-885-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE HEALING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-885-8723",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1011",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.