Selena Balderas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

710 11TH Ave
Greeley, CO 80631-6405

Phone

(970) 301-5737

NPI assigned

Apr 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1679193361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N 35TH AVE LOT 270",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319496",
            "telephone_number": "970-301-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 11TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806316405",
            "telephone_number": "970-301-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERAS",
        "first_name": "SELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W629256",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin David Baker
• Carley Jane Baker, MA, LPCC
• Danielle L Baker, PEER
• Doreen R Baker, BSW
• James Dallas Baker, RPH
• Sarah Baldino
• Robert Eli Balich, M.S.
• Linda Balkovec-Luzania, RPH
• Eva Baltz, M.S., CCC-SLP
• Stephanie Alexis Balunda, SLP

• Mental Health Counselor in Greeley, CO
• Providers in Greeley, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.