Active NPI
Chasing Balanced Wellness, LLC
- Mental Health Counselor
- Lawrenceville, GA
National Provider Identifier
1699422170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CHASING BALANCED WELLNESS, LLC
- Practice address
- 4850 Sugarloaf Pkwy Ste 209-323
Lawrenceville, GA 30044-2859 - Phone
- (770) 268-0969
- NPI assigned
- Mar 4, 2022
- 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
- Natasha Goodman, PHD, LPC, CPCS
- Title
- Owner/Psychotherapist
- Phone
- (770) 268-0969
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
4850 Sugarloaf Pkwy Ste 209-323
Lawrenceville, GA 30044-2859
Mailing address
4850 Sugarloaf Pkwy Ste 209-323
Lawrenceville, GA 30044-2859
Phone (770) 268-0969
National Provider Directory
National Provider DirectoryLocations
4850 Sugarloaf Pkwy
Ste 209323
Lawrenceville, GA 30044
Phone (770) 268-0969
Practitioners & affiliated clinicians
Practitioners 1
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": "1646352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646352000000",
"number": "1699422170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 SUGARLOAF PKWY STE 209-323",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300442859",
"telephone_number": "770-268-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 SUGARLOAF PKWY STE 209-323",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300442859",
"telephone_number": "770-268-0969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHASING BALANCED WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-04",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "NATASHA",
"authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "770-268-0969",
"authorized_official_credential": "PHD, LPC, CPCS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.