NPIMap

Organization Active NPI

Balanced Life Counseling Services, LLC

  • Clinical Social Worker
  • Salisbury, MD
National Provider Identifier
1770084535
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10928 Issued in MD
Legal business name
BALANCED LIFE COUNSELING SERVICES, LLC
Practice address
560 Riverside Dr Ste B101
Salisbury, MD 21801-4701
Phone
(410) 422-3823
NPI assigned
Feb 26, 2018
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Mrs. Laura F Harrison, LCSW-CNPI 1982782397
Title
Therapist/Owner
Phone
(410) 422-3823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10928 MD Primary

Addresses

Primary practice location

560 Riverside Dr Ste B101
Salisbury, MD 21801-4701

Mailing address

5554 E Nithsdale Dr
Salisbury, MD 21801-2463
Phone (410) 422-3823

Other practice location 1

4400 E West Hwy Ste 33
Bethesda, MD 20814-4524
Phone (443) 978-8688

Other identifiers 6

IdentifierTypeStateIssuer
0010OtherMDCARE FIRST BLUE CHOICE
294041OtherMDJOHNS HOPKINS HEALTH CARE
476737-000OtherMDMAGELLAN
615825-01OtherMDCAREFIRST OF MD
398872OtherMDMHN
7374385OtherMDAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180424001029 MD Part B Supplier - Clinic/Group Practice 4688937717 Receives reassigned benefits from 11 practitioners
Practice locations: Salisbury, MD

National Provider Directory

National Provider Directory
Tax ID family
Balanced Life Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

560 Riverside Dr
Ste B101
Salisbury, MD 21801
Phone (410) 422-3823

Practitioners & affiliated clinicians

Practitioners 12

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": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1770084535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 E NITHSDALE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012463",
            "telephone_number": "410-422-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 RIVERSIDE DR STE B101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014701",
            "telephone_number": "410-422-3823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 E West Hwy Ste 33",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208144524",
            "country_code": "US",
            "telephone_number": "443-978-8688",
            "fax_number": "443-978-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED LIFE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "410-422-3823",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CHOICE",
            "identifier": "0010",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTH CARE",
            "identifier": "294041",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "476737-000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "615825-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "398872",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7374385",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.