Organization Active NPI

Balanced Lifestyle Counseling, LLC

  • Clinical Social Worker
  • Portsmouth, NH
National Provider Identifier
1801331772
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1763 Issued in NH
Legal business name
BALANCED LIFESTYLE COUNSELING, LLC
Practice address
141 Concord Way
Portsmouth, NH 03801-3405
Phone
(603) 828-5185
NPI assigned
Dec 30, 2016
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Ms. Julia Elizabeth Ovalle, MSWNPI 1730490335
Title
Licsw
Phone
(603) 828-5185

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 1763 NH Primary

Addresses

Primary practice location

141 Concord Way
Portsmouth, NH 03801-3405

Mailing address

141 Concord Way
Portsmouth, NH 03801-3405
Phone (603) 828-5185

Other identifiers 2

IdentifierTypeStateIssuer
1801331772OtherNHTYPE 2 NPI
1730490335OtherNHNPI

National Provider Directory

National Provider Directory

Locations

7 Greenleaf Woods Dr
Unit 202
Portsmouth, NH 03801

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": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1801331772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CONCORD WAY",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013405",
            "telephone_number": "603-828-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CONCORD WAY",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013405",
            "telephone_number": "603-828-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFESTYLE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "OVALLE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "603-828-5185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1801331772",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730490335",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.