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 NPI 1215300017
Title
Owner/Licensed Professional Counsel
Phone
(859) 321-8050

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address email@balancingedencounseling.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 12, 2022.

{
    "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

All providers in Simpsonville, SC · Adult Mental Health Clinic/Center in South Carolina

Sources for this page

Verify at the official NPI Registry.