Organization Active NPI

Balanced Behavioral Health Ky LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1811566102
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BALANCED BEHAVIORAL HEALTH KY LLC
Practice address
1021 Majestic Dr Ste 180
Lexington, KY 40513-1866
Phone
(859) 753-7950
NPI assigned
Jun 21, 2021
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TEMPLEMAN II HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Mrs. Elizabeth Ann Templeman, APRNNPI 1164735189
Title
Nurse Practitioner
Phone
(859) 963-1619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1021 Majestic Dr Ste 180
Lexington, KY 40513-1866

Mailing address

360 S Hill Rd
Versailles, KY 40383-8663
Phone (859) 963-1619

Other practice location 1

310 Saint Clair St
Frankfort, KY 40601-1876
Phone (502) 576-6224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006003071 KY Part B Supplier - Clinic/Group Practice 6709284680 Receives reassigned benefits from 4 practitioners
Practice locations: Lexington, KY; Frankfort, KY

National Provider Directory

National Provider Directory

Locations

310 Saint Clair St
Frankfort, KY 40601
Phone (502) 576-6224

Practitioners & affiliated clinicians

Practitioners 5

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": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1811566102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S HILL RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403838663",
            "telephone_number": "859-963-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MAJESTIC DR STE 180",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131866",
            "telephone_number": "859-753-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Saint Clair St",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406011876",
            "country_code": "US",
            "telephone_number": "502-576-6224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED BEHAVIORAL HEALTH KY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLEMAN II HOLDINGS LLC",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "TEMPLEMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "859-963-1619",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.