Active NPI
Mental Balance and Healing
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1558067272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kirsten Nicole Talbott, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30017443320001 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Richmond, VA
- NPI 1225701410
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.