Individual provider Active NPI

Adriana W Bal, PHD, M.ED, LMHC, NCC

  • Mental Health Counselor
  • Hallandale Beach, FL
National Provider Identifier
1851409320
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9638 Issued in FL
Practice address
500 S. Federal Hwy
#2722
Hallandale Beach, FL 33009-2722
Phone
(786) 288-1667
NPI assigned
Aug 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 MH9638 FL Primary

Addresses

Primary practice location

500 S. Federal Hwy
#2722
Hallandale Beach, FL 33009-2722

Mailing address

500 S. Federal Hwy
#2722
Hallandale Beach, FL 33009-2722
Phone (786) 288-1667

Other practice location 1

2100 E Hallandale Beach Blvd Ste 306A
Hallandale Beach, FL 33009-3771
Phone (786) 288-1667

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)
Enrolled
Credentials
Master of Education, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH9638FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Constructive Psychological Solutions, Inc. Mental Health CurrentSince Feb 23, 2020 Accepting new patients
Preferred Resource Network Past Accepting new patients

Locations

2100 E Hallandale Beach Blvd
Ste 306A
Hallandale Beach, FL 33009
Phone (516) 729-0502

Organizations & group practices 2

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": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1851409320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S. FEDERAL HWY",
            "address_2": "#2722",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092722",
            "telephone_number": "786-288-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S. FEDERAL HWY",
            "address_2": "#2722",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092722",
            "telephone_number": "786-288-1667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 E Hallandale Beach Blvd Ste 306A",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330093771",
            "country_code": "US",
            "telephone_number": "786-288-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAL",
        "first_name": "ADRIANA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHD, M.ED, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.