Balance to Wellness Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BALANCE TO WELLNESS COUNSELING LLC

Practice address

1600 W Maud St Ste 2
Poplar Bluff, MO 63901-4726

Phone

(417) 860-3458

NPI assigned

Feb 15, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristie Lynne Keasler, LPCNPI 1811328958

Title

Owner

Phone

(573) 872-4798

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

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.

• Kristie Lynne Keasler, BSW MS/LPC

  • Counselor
  • Poplar Bluff, MO
  • NPI 1811328958
  Medicare reassignment NPD Authorized official
• Maria L. Francisco, LCSW

  • Clinical Social Worker
  • Poplar Bluff, MO
  • NPI 1578843124
  NPD
• Lori Lady, LCSW

  • Clinical Social Worker
  • Poplar Bluff, MO
  • NPI 1518724566

  Counselor

  NPD
• Harold Bernard Rose III, LCSW

  • Clinical Social Worker
  • Poplar Bluff, MO
  • NPI 1265071484

  Mental Health

  NPD

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1760137061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W MAUD ST STE 2",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014726",
            "telephone_number": "417-860-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W MAUD ST STE 2",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014726",
            "telephone_number": "417-860-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE TO WELLNESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "KEASLER",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-872-4798",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Nicole Bailey
• Sarah Elizabeth Bailey, B.S.
• Julie R Baker, LCSW
• Rebecca Baker, RD LD
• Taylor Kahealani Baker
• Vergena Raeonda Ballenger
• Donna J Baller
• Jeffrey David Baller, D.P.M.
• Jessica Rynee Ballinger
• David Louis Baltz, LCSW

• Counselor in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.