Active NPI
Mo Smiles LLC
Doing business as Balanced Mind Counseling
- Mental Health Counselor
- Glendale, AZ
National Provider Identifier
1649162819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MO SMILES LLC
- Doing business as
- Balanced Mind Counseling
- Practice address
- 19420 N 59TH Ave Ste C253
Glendale, AZ 85308-6897 - Phone
- (623) 934-9191
- NPI assigned
- Jul 21, 2025
- Last updated
- Sep 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Candelas
- Title
- Office Manager
- Phone
- (303) 582-4157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
19420 N 59TH Ave Ste C253
Glendale, AZ 85308-6897
Mailing address
8461 Turnpike Dr Ste 203
Westminster, CO 80031-4379
Phone (720) 627-7734
Other practice location 1
23022 N 67th Ave
Glendale, AZ 85310-4227
Phone (623) 934-9191
Other names 1
- Balanced Mind Counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Professional Counselor
- Westminster, CO
- NPI 1376485912
-
- Professional Counselor
- Glendale, AZ
- NPI 1538771829
-
- Professional Counselor
- Englewood, CO
- NPI 1427489160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758585600000",
"number": "1649162819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8461 TURNPIKE DR STE 203",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800314379",
"telephone_number": "720-627-7734",
"fax_number": "303-265-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19420 N 59TH AVE STE C253",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086897",
"telephone_number": "623-934-9191"
}
],
"practiceLocations": [
{
"address_1": "23022 N 67th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853104227",
"country_code": "US",
"telephone_number": "623-934-9191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MO SMILES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-21",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A",
"authorized_official_last_name": "CANDELAS",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "303-582-4157"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Balanced Mind Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.