Kinetic Balance Collective

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KINETIC BALANCE COLLECTIVE

Practice address

3201 Fluvial LN Apt 406
Laurel, MD 20724-1396

Phone

(443) 455-1958

NPI assigned

Aug 7, 2026

Last updated

Oct 6, 2026By 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

Kassandra Irene ButlerNPI 1952134058

Title

President and LCPC

Phone

(407) 492-3450

Specialties & licenses 1

Addresses

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.

• Kassandra Irene Butler

  • Professional Counselor
  • Columbia, MD
  • NPI 1952134058

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1558285916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10490 LITTLE PATUXENT PKWY STE 600",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 FLUVIAL LN APT 406",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241396",
            "telephone_number": "443-455-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC BALANCE COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT AND LCPC",
        "authorized_official_telephone_number": "407-492-3450"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Y Kim, M.D.
• Symphorian Mbunwe Kimbi, HHA
• Darla Kimbrough-Glears, SLP
• Michael Hunter Kime, DPT
• Kindermender Laurel
• King Health Systems, Inc
• King Health Systems, Inc.
• Aisha King, PH.D.
• Deborah King
• Kingskids Physicians, LLC (KingsKids Clinic)

• Mental Health Counselor in Laurel, MD
• Providers in Laurel, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.