Balansera Therapy Group

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BALANSERA THERAPY GROUP

Practice address

433 Cody Dr
Orange Park, FL 32073-4214

Phone

(724) 622-9155

NPI assigned

May 12, 2022

Last updated

May 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Sadie E Schultheis, LMHCNPI 1104397686

Title

Owner

Phone

(724) 622-9155

Specialties & licenses 2

Addresses

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.

• Sadie Elizabeth Schultheis, MS

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1104397686
  NPD Authorized official

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1912644865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 ARLINGTON EXPRESSWAY",
            "address_2": "B105 #2009",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "724-622-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CODY DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734214",
            "telephone_number": "724-622-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANSERA THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEIS",
        "authorized_official_first_name": "SADIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-622-9155",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Renee Baker, CPHT, PACS
• Sara Baker, PT, DPT
• Tiffany Ta'Larna Baker
• Hailey Bakley
• Balance and Spine Rehab LLC
• Arthi Balasubramaniam, DO
• Natallia Michailovna Baldev, CRNA
• Shari Daniela Baldwin
• Melissa Marie Ballard-Martin, A.P.R.N.
• Mohamad Amir Balloura, MD

• Adult Mental Health Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.