Organization Active NPI

Balanced Life Counseling, PLLC

  • Counselor
  • Denton, TX
National Provider Identifier
1699346007
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BALANCED LIFE COUNSELING, PLLC
Practice address
519 S Carroll Blvd Ste 100
Denton, TX 76201-7412
Phone
(940) 230-2003
Fax
(940) 222-4648
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Emily A Wilson, LPCNPI 1972127348
Title
Owner / Manager
Phone
(940) 230-2003

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

519 S Carroll Blvd Ste 100
Denton, TX 76201-7412

Mailing address

519 S Carroll Blvd Ste 100
Denton, TX 76201-7412
Phone (940) 230-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604003302 TX Part B Supplier - Clinic/Group Practice 5395103923 Receives reassigned benefits from 1 practitioner
Practice locations: Denton, TX

National Provider Directory

National Provider Directory

Locations

519 S Carroll Blvd
Ste 100
Denton, TX 76201
Phone (940) 230-2003

2556 Lillian Miller Pkwy
Ste 102
Denton, TX 76210

Practitioners & affiliated clinicians

Practitioners 2

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": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1699346007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S CARROLL BLVD STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762017412",
            "telephone_number": "940-230-2003",
            "fax_number": "940-222-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S CARROLL BLVD STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762017412",
            "telephone_number": "940-230-2003",
            "fax_number": "940-222-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "940-230-2003",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.