Organization Active NPI

Balm Therapeutic Services, LLC

  • Mental Health Counselor
  • Florissant, MO
National Provider Identifier
1891442463
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BALM THERAPEUTIC SERVICES, LLC
Practice address
3722 Candlewyck Club Dr Apt D
Florissant, MO 63034-2585
Phone
(314) 292-9142
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Erika Ware, LPC
Title
Owner
Phone
(314) 292-9142

Specialties & licenses 1

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

Addresses

Primary practice location

3722 Candlewyck Club Dr Apt D
Florissant, MO 63034-2585

Mailing address

3722 Candlewyck Club Dr Apt D
Florissant, MO 63034-2585
Phone (314) 616-8919

Other identifiers 1

IdentifierTypeStateIssuer
490020305MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@balmme.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Balm Therapeutic Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1891442463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 CANDLEWYCK CLUB DR APT D",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342585",
            "telephone_number": "314-616-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 CANDLEWYCK CLUB DR APT D",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342585",
            "telephone_number": "314-292-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALM THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-292-9142",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490020305",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@balmme.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3722 Candlewyck Club Dr Apt D",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630342585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.