NPIMap

Organization Active NPI

Balance Psychiatric Mental Health & Wellness

Doing business as Balance Psychiatric & Wellness Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Shelton, WA
National Provider Identifier
1629855549
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BALANCE PSYCHIATRIC MENTAL HEALTH & WELLNESS
Doing business as
Balance Psychiatric & Wellness Clinic
Balance Psychiatric Clinic
Practice address
130 S 3Rd St
Shelton, WA 98584-3533
Phone
(360) 358-3039
Fax
(651) 666-1427
NPI assigned
Sep 13, 2023
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Adelina Bjornerud
Title
Office Manager
Phone
(360) 358-4770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

130 S 3Rd St
Shelton, WA 98584-3533

Mailing address

221 W Railroad Ave Ste I
Shelton, WA 98584-3507
Phone (360) 358-1445

Other names 2

  • Balance Psychiatric & Wellness Clinic Doing business as
  • Balance Psychiatric Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220002501 WA Part B Supplier - Clinic/Group Practice 1456701218 Receives reassigned benefits from 6 practitioners
Practice locations: Belfair, WA; Shelton, WA

National Provider Directory

National Provider Directory

Locations

130 S 3rd St
Shelton, WA 98584
Phone (360) 358-3039

221 W Railroad Ave
Ste I
Shelton, WA 98584

221 W Railroad Ave
Ste K
Shelton, WA 98584

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1629855549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W RAILROAD AVE STE I",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843507",
            "telephone_number": "360-358-1445",
            "fax_number": "651-666-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 3RD ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843533",
            "telephone_number": "360-358-3039",
            "fax_number": "651-666-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE PSYCHIATRIC MENTAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "BJORNERUD",
        "authorized_official_first_name": "ADELINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-358-4770"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Psychiatric & Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balance Psychiatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.