Individual provider Active NPI

Carole Ann Raspotnik, MA

  • Mental Health Counselor
  • Rome, GA
National Provider Identifier
1811568967
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jul 27, 2023

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 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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Balanced Living Counseling Center Mental Health CurrentSince Sep 13, 2020 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.

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.

Verify at the official NPI Registry.