Active Balanced Counseling Center, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ACTIVE BALANCED COUNSELING CENTER, INC.

Practice address

266 Lincoln Rd
Walpole, MA 02081-1213

Phone

(617) 633-2918

NPI assigned

May 27, 2021

Last updated

May 9, 2024By 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

Mrs. Jayne E Shea, LMHCNPI 1760068795

Title

Owner

Phone

(617) 633-2918

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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.

• Jayne Elizabeth Shea

  • Mental Health Counselor
  • Walpole, MA
  • NPI 1760068795
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1518533967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 LINCOLN RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811213",
            "telephone_number": "617-633-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LINCOLN RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811213",
            "telephone_number": "617-633-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE BALANCED COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-633-2918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Levenson Acker, MD
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• Elena Adorno-Vega
• Cheryl Adrean
• Claudineia M. C. Aguiar
• Lisa Rukhsana Ahmed, MSW, LICSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Walpole, MA
• Providers in Walpole, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.