Organization Active NPI

Whole Balance Health, LLC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1700310968
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WHOLE BALANCE HEALTH, LLC
Practice address
5390 N Academy Blvd
Ste 330
Colorado Springs, CO 80918-4176
Phone
(719) 466-1165
Fax
(719) 362-4447
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Catherine Durst, LPCNPI 1194016188
Title
Owner
Phone
(719) 466-1165

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X CO Primary

Addresses

Primary practice location

5390 N Academy Blvd
Ste 330
Colorado Springs, CO 80918-4176

Mailing address

5390 N Academy Blvd
Ste 330
Colorado Springs, CO 80918-4176
Phone (719) 466-1165

Other practice location 1

430 Beacon Lite
Ste 125
Monument, CO 80132-9182
Phone (719) 466-1165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250703002390 CO Part B Supplier - Clinic/Group Practice 4981141900 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory
Tax ID family
Whole Balance Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1700310968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 N ACADEMY BLVD",
            "address_2": "STE 330",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184176",
            "telephone_number": "719-466-1165",
            "fax_number": "719-362-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 N ACADEMY BLVD",
            "address_2": "STE 330",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184176",
            "telephone_number": "719-466-1165",
            "fax_number": "719-362-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Beacon Lite",
            "address_2": "Ste 125",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801329182",
            "country_code": "US",
            "telephone_number": "719-466-1165",
            "fax_number": "719-362-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLE BALANCE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "DURST",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-466-1165",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.