Individual provider Active NPI

Christina Marie Balasis, LPCC, MS

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1962221168
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0021898 Issued in CO
Practice address
4080 Westmeadow Dr Apt 108
Colorado Springs, CO 80906-6052
Phone
(561) 567-3204
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0021898 CO Primary

Addresses

Primary practice location

4080 Westmeadow Dr Apt 108
Colorado Springs, CO 80906-6052

Mailing address

4080 Westmeadow Dr Apt 108
Colorado Springs, CO 80906-6052
Phone (561) 567-3204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPCC.0021898COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1962221168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 WESTMEADOW DR APT 108",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809066052",
            "telephone_number": "561-567-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 WESTMEADOW DR APT 108",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809066052",
            "telephone_number": "561-567-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASIS",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LPCC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0021898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.