Kelsey Balaban

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KELSEY BALABAN

Practice address

813 W 11TH St Ste a
Austin, TX 78701-2058

Phone

(512) 903-6471

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

Kelsey Balaban, LCSW

Title

Therapist / Owner

Phone

(512) 903-6471

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1962033258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 N LAMAR BLVD APT 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W 11TH ST STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012058",
            "telephone_number": "512-903-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY BALABAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "BALABAN",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "THERAPIST / OWNER",
        "authorized_official_telephone_number": "512-903-6471",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy W. Kelly, PH.D., LCSW
• Samantha Ann Kelly, CPHT
• Scott Douglas Kelly, M.D.
• Melanie Kelner, LMFT, LPC
• John Kavin Kelp, DDS
• Kelsey Lee Somatic Psychotherapy PLLC
• Douglas Kelsey, P.T.
• Melanie Kelsey, PA
• Petra A Kelsey, MD
• Kelsi Lewis DDS PLLC

• Community/Behavioral Health Agency in Austin, TX
• Providers in Austin, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.