Beth A Balko

Primary specialty

CounselorTaxonomy code 101Y00000X

License

8473 Issued in CT

Practice address

516 Long Hill Ave
Shelton, CT 06484-4260

Phone

(203) 906-5425

NPI assigned

Jul 22, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1629950530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELIZABETH ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LONG HILL AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844260",
            "telephone_number": "203-906-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKO",
        "first_name": "BETH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "8473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Patrick Bailey, M.D.
• Angela Fay Baker, APN-C
• Bharvi Ashok Balar, MD
• Fabiola Sara Balarezo, M.D.
• Brittany Balducci
• Jillian Ingrid Ball, OTR/L
• Dammy Bamisile, MSW LCSW
• Foluke R Bamisile
• Grace Dolores Bandow, M.D.
• Daisy H Bang, MD

• Counselor in Shelton, CT
• Providers in Shelton, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.