Organization Active NPI

Mental Balance and Healing

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1558067272
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENTAL BALANCE AND HEALING
Practice address
4907 Fitzhugh Ave Ste 202
Richmond, VA 23230-3533
Phone
(804) 396-4106
Fax
(804) 358-0034
NPI assigned
Feb 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Mrs. Kirsten Nicole Talbott, LPCNPI 1225701410
Title
Owner/Therapist
Phone
(804) 396-4106

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4907 Fitzhugh Ave Ste 202
Richmond, VA 23230-3533

Mailing address

4907 Fitzhugh Ave Ste 202
Richmond, VA 23230-3533
Phone (804) 396-4106

Other identifiers 1

IdentifierTypeStateIssuer
30017443320001MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260428000680 VA Part B Supplier - Clinic/Group Practice 6507333598 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1558067272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 FITZHUGH AVE STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303533",
            "telephone_number": "804-396-4106",
            "fax_number": "804-358-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 FITZHUGH AVE STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303533",
            "telephone_number": "804-396-4106",
            "fax_number": "804-358-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL BALANCE AND HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "TALBOTT",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "804-396-4106",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017443320001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.