Back in Balance Counseling & Wellness

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

BACK IN BALANCE COUNSELING & WELLNESS

Practice address

3813 Las Colinas Ave NE
Rio Rancho, NM 87124-4394

Phone

(505) 903-9510

NPI assigned

Oct 17, 2024

Organization subpart

No

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

Authorized official

Name

Stacey DemareyNPI 1598160020

Title

Owner

Phone

(505) 903-9510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

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

• Stacey Demarey, LCSW

  • Clinical Social Worker
  • Rio Rancho, NM
  • NPI 1598160020

  NM

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1962223404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 LAS COLINAS AVE NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244394",
            "telephone_number": "505-903-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 LAS COLINAS AVE NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244394",
            "telephone_number": "505-903-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN BALANCE COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "DEMAREY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-903-9510"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Lee Baca, LPCC
• Savannah Rae Baca
• Sherlyn Baca, M.ED., BCBA
• Taylor Baca
• Victoria Baca
• Natalya Backhaus, LMSW
• Shauni Backus
• Olivia Baeza
• Rachel Baeza, LCSW
• Nazanin Bagheri, MA, LPCC

• All providers in Rio Rancho, NM
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.