Al A Balaa, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC11565 Issued in MD

Practice address

1185 Mount Aetna Rd Ste 102
Hagerstown, MD 21740-6832

Phone

(240) 818-3044

NPI assigned

Jan 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Excellence

  • Adult Mental Health Clinic/Center
  • Hagerstown, MD
  • NPI 1992459523
  NPD Authorized official

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1902446651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 MOUNT AETNA RD STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406832",
            "telephone_number": "240-818-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 MOUNT AETNA RD STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406832",
            "telephone_number": "240-818-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAA",
        "first_name": "AL",
        "middle_name": "A",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11565",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Michelle Baker, RN
• Gary Brent Baker, M.A.
• Jeremy Edward Baker
• Tara Baker
• Bala Empowerment, LLC
• Stephanie Baldwin, OTR/L
• Larry Bales, LCSWC
• Emma Balint, BSW
• Rochelle Eileen Baltimore-Swan, LCSWC
• Bibhas C Bandy, M.D.

• Professional Counselor in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Professional Counselor in Maryland

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