Organization Active NPI

Balanced Life Counseling Services, LLC

  • Clinic/Center
  • St Maries, ID
National Provider Identifier
1639681224
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BALANCED LIFE COUNSELING SERVICES, LLC
Practice address
149 S Grand Ave
St Maries, ID 83861-9182
Phone
(208) 714-1727
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jami WalkerNPI 1942682356
Title
Owner
Phone
(208) 714-1727

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

149 S Grand Ave
St Maries, ID 83861-9182

Mailing address

149 S Grand Ave
St Maries, ID 83861-9182
Phone (208) 714-1727

National Provider Directory

National Provider Directory

Locations

1025 W Lacrosse Ave
Coeur D Alene, ID 83814
Phone (208) 704-2166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639681224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 S GRAND AVE",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838619182",
            "telephone_number": "208-714-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S GRAND AVE",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838619182",
            "telephone_number": "208-714-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2025-09-11",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-714-1727"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Maries, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.