NPIMap

Organization Active NPI

Balanced Resilience Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Eldersburg, MD
National Provider Identifier
1669337226
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BALANCED RESILIENCE MENTAL HEALTH
Practice address
1311 Londontown Blvd Ste 130a
Eldersburg, MD 21784-6439
Phone
(410) 552-0773
NPI assigned
Dec 17, 2025
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Jennifer Ann Fry, CRNP PMHNPI 1063228088
Title
Owner
Phone
(443) 386-3396

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1311 Londontown Blvd Ste 130a
Eldersburg, MD 21784-6439

Mailing address

4827 Buffalo Rd
Mount Airy, MD 21771-8223
Phone (443) 386-3396

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1669337226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 BUFFALO RD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217718223",
            "telephone_number": "443-386-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 LONDONTOWN BLVD STE 130A",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846439",
            "telephone_number": "410-552-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED RESILIENCE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-386-3396",
        "authorized_official_credential": "CRNP PMH"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.