NPIMap

Organization Active NPI

Balanced Life Counseling & Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Louis, MO
National Provider Identifier
1710414271
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2011350180 Issued in MO
Legal business name
BALANCED LIFE COUNSELING & CONSULTING
Practice address
8045 Big Bend Blvd Ste 101/109
Saint Louis, MO 63119-2714
Phone
(314) 800-0311
Fax
(314) 228-0367
NPI assigned
May 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Nahnahsha Deas, LCSW
Title
Owner/Manager
Phone
(314) 800-0311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2011350180 MO Primary

Addresses

Primary practice location

8045 Big Bend Blvd Ste 101/109
Saint Louis, MO 63119-2714

Mailing address

PO Box 50053
Albuquerque, NM 87181-0053
Phone (314) 800-0311

National Provider Directory

National Provider Directory

Locations

8045 Big Bend Blvd
Ste 101109
Saint Louis, MO 63119
Phone (314) 800-0311

8045 Big Bend Blvd
Ste 101
Webster Groves, MO 63119
Phone (314) 254-3310

Practitioners & affiliated clinicians

Practitioners 5

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": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1710414271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50053",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871810053",
            "telephone_number": "314-800-0311",
            "fax_number": "314-228-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 BIG BEND BLVD STE 101/109",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192714",
            "telephone_number": "314-800-0311",
            "fax_number": "314-228-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "DEAS",
        "authorized_official_first_name": "NAHNAHSHA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "314-800-0311",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MO",
            "license": "2011350180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.