Organization Active NPI

Balanced Recovery Counseling and Consultation LLC

  • Community/Behavioral Health Agency
  • Green Bay, WI
National Provider Identifier
1619675568
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BALANCED RECOVERY COUNSELING AND CONSULTATION LLC
Practice address
532 E Saint Joseph St
Green Bay, WI 54301-2246
Phone
(534) 429-1630
Fax
(855) 674-1884
NPI assigned
Feb 20, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Morgan Phillips, LCSW, CSAC
Title
Owner/Clinical Social Worker
Phone
(534) 429-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

532 E Saint Joseph St
Green Bay, WI 54301-2246

Mailing address

2809 E Hamilton Ave # 4029
Eau Claire, WI 54701-6863
Phone (534) 429-1630

Other identifiers 1

IdentifierTypeStateIssuer
1538400445MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Balanced Recovery Counseling and Consultation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1619675568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 E HAMILTON AVE # 4029",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016863",
            "telephone_number": "534-429-1630",
            "fax_number": "855-674-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 E SAINT JOSEPH ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012246",
            "telephone_number": "534-429-1630",
            "fax_number": "855-674-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED RECOVERY COUNSELING AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "534-429-1630",
        "authorized_official_credential": "LCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538400445",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.