Balancing Eden Counseling LLC
Organization Active NPI Adult Mental Health Clinic/Center · Simpsonville, SC
NPI 1932724028 · NPPES record last updated Aug 12, 2022
Key facts
- NPI
- 1932724028
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- BALANCING EDEN COUNSELING LLC
- Practice address
- 2607 Woodruff Rd Ste E-1069
Simpsonville, SC 29681-4803 - Phone
- (864) 214-6393
- Fax
- (864) 568-7250
- NPI assigned
- Jun 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Ms. Asha N Griffin, LPC
- Title
- Owner/Licensed Professional Counsel
- Phone
- (859) 321-8050
Practitioners 1
-
Asha N Griffin, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241114000692 | SC | Part B Supplier - Clinic/Group Practice | 1052845989 |
Receives reassigned benefits from 1 practitioner Practice locations: Simpsonville, SC |
National Provider Directory
Locations
2607 Woodruff Rd
Ste E1069
Simpsonville, SC 29681
Phone (864) 214-6393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Yes | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2607 Woodruff Rd Ste E-1069
Simpsonville, SC 29681-4803
Mailing address
211 Jasmine Cove Cir
Simpsonville, SC 29680-7170
Phone (859) 321-8050
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | email@balancingedencounseling.com | Direct |
NPI Registry JSON
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660262400000",
"number": "1932724028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 JASMINE COVE CIR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807170",
"telephone_number": "859-321-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 WOODRUFF RD STE E-1069",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814803",
"telephone_number": "864-214-6393",
"fax_number": "864-568-7250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCING EDEN COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-15",
"last_updated": "2022-08-12",
"certification_date": "2020-06-15",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "ASHA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
"authorized_official_telephone_number": "859-321-8050",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "email@balancingedencounseling.com",
"affiliation": "N",
"endpointDescription": "HIPAA Compliant Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2607 Woodruff Rd Ste E-1069",
"city": "Simpsonville",
"state": "SC",
"country_code": "US",
"postal_code": "296814803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Simpsonville, SC
- Timothy Park Bailey
- Xavier Bailey
- Ralph Lee Baisden Jr.
- Baker Therapeutic Services LLC
- Michael David Baker
- Jennifer Ann Ball
- Brian Banke
- Patricia Banke
- Elizabeth Rose Bannio
- Dara Baril
All providers in Simpsonville, SC · Adult Mental Health Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.