Balancing Act, LLC
Organization Active NPI Professional Counselor · Cheshire, CT
NPI 1982286431 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1982286431
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- BALANCING ACT, LLC
- Practice address
- 325 S Main St Ste 3
Cheshire, CT 06410-3159 - Phone
- (203) 651-8647
- NPI assigned
- Apr 24, 2021
- Organization subpart
- No
Authorized official
- Name
- Shannon K. Rouse, LMFT
- Title
- Owner
- Phone
- (203) 554-4054
Practitioners 8
-
Ashley Beckerman, LMFT
-
Jill D Bukowski, LMFT
-
Tammi Jacob, LADC
-
Shannon Katherine Rouse, LMFT
-
Courtney Haynes, MS, LMFT
-
Rebecca Hennessey, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240402000077 | CT | Part B Supplier - Clinic/Group Practice | 1355789025 |
Receives reassigned benefits from 5 practitioners Practice locations: Cheshire, CT |
National Provider Directory
Locations
325 S Main St
Ste 3
Cheshire, CT 06410
Phone (203) 651-8647
325 S Main St
Ste 2
Cheshire, CT 06410
325 S Main St
Ste 4
Cheshire, CT 06410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes | ||
| Social Worker |
104100000X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
325 S Main St Ste 3
Cheshire, CT 06410-3159
Mailing address
325 S Main St Ste 3
Cheshire, CT 06410-3159
Phone (203) 651-8647
Other providers in Cheshire, CT
- Rosemarie Lafleur Bach
- Beth Backer
- Amy L Backstrom
- Balanced Energy Partnership, LLC
- Emma Balancia
- Sarah Balfour
- Bethany Christian Bandola-Brunnock
- Joseph Michael Baranowski
- Toni Barillaro
- Shannon Barkan
All providers in Cheshire, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. 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.