Balanced Soul Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BALANCED SOUL COUNSELING PLLC

Practice address

180 Beaver Creek Dr
Bolingbrook, IL 60490-5559

Phone

(630) 788-1719

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Bianca Rivera, LCSW

Title

Licensed Clinical Social Worker

Phone

(630) 788-1719

Specialties & licenses 1

Addresses

Practitioners 1

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

• Bianca Harenberg, LCSW

  • Clinical Social Worker
  • Bolingbrook, IL
  • NPI 1477150456
  NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1699405183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BEAVER CREEK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905559",
            "telephone_number": "630-788-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BEAVER CREEK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905559",
            "telephone_number": "630-788-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED SOUL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "630-788-1719",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Kovatch Bachinski, DDS
• Carla T Bader, LPC
• Alicea Bailey, LCPC
• Chelsea Bailey, LAC
• Russell J Bak, DDS
• Jingfang Baloga, OTR/L
• Gianna Bandemer, DC
• Dansowaah Bandoh, APRN
• Christopher Paul Banks, D.M.D.
• Bansri Shroff, DMD PC

• Clinical Social Worker in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.