Individual provider Active NPI

Joan L Balcome

  • Marriage & Family Therapist
  • Rochester, MN
National Provider Identifier
1578059036
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4119 Issued in MN
Practice address
1001 14TH St NW
Rochester, MN 55901-2590
Phone
(507) 534-2668
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 4119 MN Primary

Addresses

Primary practice location

1001 14TH St NW
Rochester, MN 55901-2590

Mailing address

275 4TH St E Ste 301
Saint Paul, MN 55101-1771
Phone (651) 413-9938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240126003749 MN Practitioner - Marriage and Family Therapist 6709239627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Art of Counseling PLLCGroup PAC ID 3678918042, 14 clinicians

Practice addresses (Care Compare)

275 4TH St E
Suite 301
Saint Paul, MN 55101-1771
Phone (651) 318-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4119MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balcome and Dicke Psychology Professionals Current Accepting new patients
Art of Counseling, PLLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Sharon Davern Msed, LP, LMFT, LLC Marriage & Family Therapist Past Accepting new patients

Locations

275 4th St E
Ste 301
Saint Paul, MN 55101
Phone (651) 318-0109

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1578059036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 4TH ST E STE 301",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011771",
            "telephone_number": "651-413-9938",
            "fax_number": "651-344-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 14TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012590",
            "telephone_number": "507-534-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCOME",
        "first_name": "JOAN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.