Organization Active NPI

Balance Autism

  • Speech-Language Pathologist
  • Altoona, IA
National Provider Identifier
1720204191
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BALANCE AUTISM
Practice address
1625 Adventureland Dr Ste B
Altoona, IA 50009-2237
Phone
(515) 957-3342
Fax
(515) 957-3380
NPI assigned
Apr 17, 2007
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Luann Jahner
Title
Operations Dir
Phone
(515) 957-3342

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1625 Adventureland Dr Ste B
Altoona, IA 50009-2237

Mailing address

1625 Adventureland Dr Ste B
Altoona, IA 50009-2237
Phone (515) 967-4369

Other identifiers 1

IdentifierTypeStateIssuer
0746768MedicaidIA

Other names 1

  • THE HOMESTEAD Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Balance Autism5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1720204191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ADVENTURELAND DR STE B",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500092237",
            "telephone_number": "515-967-4369",
            "fax_number": "515-957-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ADVENTURELAND DR STE B",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500092237",
            "telephone_number": "515-957-3342",
            "fax_number": "515-957-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "JAHNER",
        "authorized_official_first_name": "LUANN",
        "authorized_official_title_or_position": "OPERATIONS DIR",
        "authorized_official_telephone_number": "515-957-3342"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0746768",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE HOMESTEAD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.