Achieve Balance Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ACHIEVE BALANCE COUNSELING, LLC

Practice address

1722 S Glenstone Ave Ste H
Springfield, MO 65804-1513

Phone

(636) 667-9590

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Shelley L Jungen, LPCNPI 1093071003

Title

Licensed Professional Counselor

Phone

(636) 667-9590

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.

• Shelley Louise Jungen, LPC

  • Professional Counselor
  • Lebanon, MO
  • NPI 1093071003

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1558975615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 S BRITTANY PL",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092962",
            "telephone_number": "636-667-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 S GLENSTONE AVE STE H",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041513",
            "telephone_number": "636-667-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Elliott Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "MO",
            "postal_code": "656052103",
            "country_code": "US",
            "telephone_number": "636-667-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACHIEVE BALANCE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "JUNGEN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "636-667-9590",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.