Organization Active NPI

A Balanced Mind, LLC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1629567458
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
A BALANCED MIND, LLC
Practice address
8541 Hurst CT
Oklahoma City, OK 73114-4402
Phone
(405) 312-5661
NPI assigned
May 7, 2018
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Mrs. Valerie Nicole Keller Gates, LPCNPI 1871964106
Title
Owner
Phone
(405) 833-3935

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8541 Hurst CT
Oklahoma City, OK 73114-4402

Mailing address

PO Box 13353
Oklahoma City, OK 73113-1353
Phone (405) 312-5661

Other practice location 1

5505 Main St Ste 100
Del City, OK 73115-5508
Phone (405) 312-5661

National Provider Directory

National Provider Directory

Locations

5505 Main St
Ste 100
Del City, OK 73115
Phone (405) 312-5661

7416 Broadway Ext
Ste G
Oklahoma City, OK 73116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1629567458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13353",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731131353",
            "telephone_number": "405-312-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 HURST CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731144402",
            "telephone_number": "405-312-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Del City",
            "state": "OK",
            "postal_code": "731155508",
            "country_code": "US",
            "telephone_number": "405-312-5661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A BALANCED MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "KELLER GATES",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-833-3935",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.