NPIMap

Organization Active NPI

Balance Mental Health Counseling PLLC

  • Mental Health Counselor
  • Huntington, NY
National Provider Identifier
1831731579
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BALANCE MENTAL HEALTH COUNSELING PLLC
Practice address
755 New York Ave Ste 230
Huntington, NY 11743-4285
Phone
(631) 572-8912
Fax
(631) 351-1043
NPI assigned
Oct 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Tanairy Fernadez, MS.ED, LMHC, NCC
Title
LMHC-D
Phone
(631) 572-8912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

755 New York Ave Ste 230
Huntington, NY 11743-4285

Mailing address

755 New York Ave Ste 230
Huntington, NY 11743-4285
Phone (631) 572-8912

Other practice location 1

165 E Main St
Huntington, NY 11743-2919
Phone (631) 572-8912

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@balancemhc.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1831731579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE STE 230",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434285",
            "telephone_number": "631-572-8912",
            "fax_number": "631-351-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE STE 230",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434285",
            "telephone_number": "631-572-8912",
            "fax_number": "631-351-1043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 E Main St",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432919",
            "country_code": "US",
            "telephone_number": "631-572-8912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCE MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "FERNADEZ",
        "authorized_official_first_name": "TANAIRY",
        "authorized_official_title_or_position": "LMHC-D",
        "authorized_official_telephone_number": "631-572-8912",
        "authorized_official_credential": "MS.ED, LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@balancemhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "755 New York Ave Ste 230",
            "city": "Huntington",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117434285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.