Organization Active NPI

Inner Balance Wellness Corp

  • School Social Worker
  • Bloomingdale, IL
National Provider Identifier
1558847335
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Legal business name
INNER BALANCE WELLNESS CORP
Practice address
303 E Army Trail Rd Ste 207
Bloomingdale, IL 60108-2143
Phone
(332) 481-6563
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Amanda Kapadia, LCSWNPI 1427430933
Title
Owner
Phone
(331) 481-6562

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
School Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041S0200X Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 207
Bloomingdale, IL 60108-2143

Mailing address

233 N Walnut St
Elmhurst, IL 60126-2655
Phone (630) 441-2241

Other names 1

  • Inner Balance Wellness Former legal business name

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": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1558847335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N WALNUT ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262655",
            "telephone_number": "630-441-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 207",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082143",
            "telephone_number": "332-481-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "KAPADIA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "331-481-6562",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Balance Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.