Organization Active NPI

Enchanted Legacy Wellness and Recovery a Professional Registered

Doing business as Enchanted Legacy Wellness and Recovery

  • Psychiatric/Mental Health Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1851134142
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ENCHANTED LEGACY WELLNESS AND RECOVERY A PROFESSIONAL REGISTERED
Doing business as
Enchanted Legacy Wellness and Recovery
Practice address
720 Chichester CT
Bakersfield, CA 93314-4356
Phone
(661) 218-0509
Fax
(661) 427-2842
NPI assigned
Jun 14, 2024
Last updated
Mar 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Authorized official

Name
Aline Marie Bales, DNP, PMHNP-BCNPI 1174141550
Title
Practitioner
Phone
(925) 665-9851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

720 Chichester CT
Bakersfield, CA 93314-4356

Mailing address

720 Chichester CT
Bakersfield, CA 93314-4356
Phone (661) 218-0509

Other practice location 1

1625 S Congress Ave Ste 406
Delray Beach, FL 33445-6304
Phone (925) 665-9851

Other practice location 2

1835 W Main St
Gun Barrel City, TX 75156-4401
Phone (925) 665-9851

Other names 1

  • Enchanted Legacy Wellness and Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

1625 S Congress Ave
Ste 406
Delray Beach, FL 33445
Phone (925) 665-9851

Practitioners & affiliated clinicians

Practitioners 1

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": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1851134142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CHICHESTER CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933144356",
            "telephone_number": "661-218-0509",
            "fax_number": "661-427-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CHICHESTER CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933144356",
            "telephone_number": "661-218-0509",
            "fax_number": "661-427-2842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 S Congress Ave Ste 406",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334456304",
            "country_code": "US",
            "telephone_number": "925-665-9851",
            "fax_number": "661-427-2842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1835 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751564401",
            "country_code": "US",
            "telephone_number": "925-665-9851",
            "fax_number": "661-427-2842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENCHANTED LEGACY WELLNESS AND RECOVERY A PROFESSIONAL REGISTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "ALINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "925-665-9851",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enchanted Legacy Wellness and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; 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.