Individual provider Active NPI

Sara Elyse Balkanli, LPC

  • Mental Health Counselor
  • West Lake Hills, TX
National Provider Identifier
1750965364
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
82190 Issued in TX
Practice address
1101 S Capital of Texas Hwy Ste A295
West Lake Hills, TX 78746-6470
Phone
(281) 785-1104
NPI assigned
May 10, 2021
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 82190 TX Primary

Addresses

Primary practice location

1101 S Capital of Texas Hwy Ste A295
West Lake Hills, TX 78746-6470

Mailing address

1101 S Capital of Texas Hwy Ste A295
West Lake Hills, TX 78746-6470
Phone (281) 785-1104

Other practice location 1

5000 Bee Caves Rd Ste 100
West Lake Hills, TX 78746-5254
Phone (512) 298-3381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
82190TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1750965364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S CAPITAL OF TEXAS HWY STE A295",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466470",
            "telephone_number": "281-785-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CAPITAL OF TEXAS HWY STE A295",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466470",
            "telephone_number": "281-785-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Bee Caves Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465254",
            "country_code": "US",
            "telephone_number": "512-298-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALKANLI",
        "first_name": "SARA",
        "middle_name": "ELYSE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

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