Organization Active NPI

Balance and Bloom Therapy

  • Adult Mental Health Clinic/Center
  • Lisbon, IA
National Provider Identifier
1760309173
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BALANCE AND BLOOM THERAPY
Practice address
1137 Sutliff Rd NE
Lisbon, IA 52253-9200
Phone
(563) 422-8195
NPI assigned
Jul 6, 2026
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Jessica A Luck, LISW, CADC
Title
Therapist
Phone
(563) 422-8195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1137 Sutliff Rd NE
Lisbon, IA 52253-9200

Mailing address

1137 Sutliff Rd NE
Lisbon, IA 52253-9200
Phone (563) 422-8195

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1760309173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 SUTLIFF RD NE",
            "city": "LISBON",
            "state": "IA",
            "postal_code": "522539200",
            "telephone_number": "563-422-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 SUTLIFF RD NE",
            "city": "LISBON",
            "state": "IA",
            "postal_code": "522539200",
            "telephone_number": "563-422-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE AND BLOOM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "563-422-8195",
        "authorized_official_credential": "LISW, CADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.