Individual provider Active NPI

Rose Balyeat, LMHC

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1801530688
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20671 Issued in FL
Practice address
1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110
Phone
(239) 734-3481
Fax
(239) 236-7982
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 MH20671 FL Primary

Addresses

Primary practice location

1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110

Mailing address

78 Reily Rd
Wyoming, OH 45215-2664
Phone (260) 431-3534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512002553 FL Practitioner - Mental Health Counselor 4981121035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dura Medical LLCGroup PAC ID 1254672272, 21 clinicians

Practice addresses (Care Compare)

1575 Pine Ridge Rd
Suite 16
Naples, FL 34109-2110
Phone (239) 734-3481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH20671FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dura Medical LLC CurrentSince Mar 27, 2025 Accepting new patients
Amie Thomas LMHC LLC Mental Health PastSince Sep 15, 2024 Accepting new patients

Locations

1575 Pine Ridge Rd
Ste 16
Naples, FL 34109
Phone (239) 734-3481

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21560/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1801530688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 REILY RD",
            "city": "WYOMING",
            "state": "OH",
            "postal_code": "452152664",
            "telephone_number": "260-431-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD STE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092110",
            "telephone_number": "239-734-3481",
            "fax_number": "239-236-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALYEAT",
        "first_name": "ROSE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.