Active NPI
Carole Ann Raspotnik, MA
- Mental Health Counselor
- Rome, GA
National Provider Identifier
1811568967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC012774
- Practice address
- 106 E 5TH Ave Ste B
Rome, GA 30161-3128 - Phone
- (706) 509-0130
- Fax
- (706) 237-6503
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC012774 | Primary |
Addresses
Primary practice location
106 E 5TH Ave Ste B
Rome, GA 30161-3128
Mailing address
106 E 5TH Ave Ste B
Rome, GA 30161-3128
Phone (706) 509-0130
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | balancedlivingrome.com | ||
| Direct Messaging Address | info@balancedlivingrome.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Living Counseling Center | Mental Health | Current | Accepting new patients |
Locations
412 E 1st St
Rome, GA 30161
Phone (706) 235-6990
108 E 5th Ave
#B
Rome, GA 30161
Phone (706) 509-0130
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Rome, GA
- NPI 1033656731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1811568967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E 5TH AVE STE B",
"city": "ROME",
"state": "GA",
"postal_code": "301613128",
"telephone_number": "706-509-0130",
"fax_number": "706-237-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E 5TH AVE STE B",
"city": "ROME",
"state": "GA",
"postal_code": "301613128",
"telephone_number": "706-509-0130",
"fax_number": "706-237-6503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASPOTNIK",
"first_name": "CAROLE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "LPC012774",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "balancedlivingrome.com",
"affiliation": "N",
"endpointDescription": "Website",
"address_1": "106 E 5th Ave",
"city": "Rome",
"state": "GA",
"country_code": "US",
"postal_code": "301613128",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@balancedlivingrome.com",
"affiliation": "N",
"endpointDescription": "EMAIL",
"address_1": "108 E 5th Ave Ste B",
"city": "Rome",
"state": "GA",
"country_code": "US",
"postal_code": "301613128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.