Organization Active NPI

Chasing Balanced Wellness, LLC

  • Mental Health Counselor
  • Lawrenceville, GA
National Provider Identifier
1699422170
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Natasha Goodman, PHD, LPC, CPCSNPI 1699178509
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.