Brandy Balzer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701013201 Issued in VA

Practice address

6165 Allmondsville Rd
Gloucester, VA 23061-3336

Phone

(757) 645-8041

NPI assigned

Jan 16, 2024

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Abundant Life Partners LLCGroup PAC ID 6507142296, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abundant Life Partners, LLC

  • Clinical Social Worker
  • Williamsburg, VA
  • NPI 1942740279
  Medicare reassignment Care Compare group NPD
• Abundant Path LLC

  dba Abundant Path Evaluations

  • Psychologist
  • Williamsburg, VA
  • NPI 1962374439

  Professional

  NPD (past)

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1700657939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 ALLMONDSVILLE RD",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613336",
            "telephone_number": "757-645-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 ALLMONDSVILLE RD",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613336",
            "telephone_number": "757-645-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALZER",
        "first_name": "BRANDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA0297G669",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler John Anderson
• Ann L Lagonegro DMD PC
• Fredrick Sanders Arnold, MD
• Kristina Edwards Atkins, ED.S.
• Sherie H. Austin, M.D.
• Oleg V Bandurco
• Susan J Barker, R.N.
• Michael Barlow, LCSW
• Jan L Barrymore, LPC
• Gregory Bass, M.D.

• Professional Counselor in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.