Individual provider Active NPI

Faith Marie Balento, LMHC-D

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1568072411
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012525 Issued in NY
Practice address
623 Broadway FL 2
New York, NY 10012-2698
Phone
(646) 516-9818
NPI assigned
Aug 5, 2020
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 012525 NY Primary

Addresses

Primary practice location

623 Broadway FL 2
New York, NY 10012-2698

Mailing address

623 Broadway FL 2
New York, NY 10012-2698
Phone (646) 516-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806001052 NY Practitioner - Mental Health Counselor 9739697038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenwich House IncGroup PAC ID 0345137170, 9 clinicians

Practice addresses (Care Compare)

623 Broadway
FL 2
New York, NY 10012-2698
Phone (212) 242-4140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012525NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich House Inc CurrentSince May 31, 2025 Accepting new patients

Locations

122 W 27th St
Fl 6
New York, NY 10001
Phone (212) 691-2900

27 Barrow St
New York, NY 10014
Phone (212) 242-4140

623 Broadway
Fl 2
New York, NY 10012
Phone (212) 242-4140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1568072411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122698",
            "telephone_number": "646-516-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122698",
            "telephone_number": "646-516-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALENTO",
        "first_name": "FAITH",
        "middle_name": "MARIE",
        "credential": "LMHC-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.