Organization Active NPI

Focused and Balance Life Therapy PLLC

  • Mental Health Counselor
  • Skokie, IL
National Provider Identifier
1982424008
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FOCUSED AND BALANCE LIFE THERAPY PLLC
Practice address
10024 Skokie Blvd Ste 243
Skokie, IL 60077-9945
Phone
(224) 255-7581
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Kevin MiretzkyNPI 1093437964
Title
Owner
Phone
(847) 209-9435

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10024 Skokie Blvd Ste 243
Skokie, IL 60077-9945

Mailing address

2726 W Jarlath St
Chicago, IL 60645-1318
Phone (847) 209-9435

Other practice location 1

2726 W Jarlath St
Chicago, IL 60645-1318
Phone (847) 209-9435

National Provider Directory

National Provider Directory

Locations

10024 Skokie Blvd
Ste 243
Skokie, IL 60077
Phone (224) 255-7581

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1982424008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 W JARLATH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451318",
            "telephone_number": "847-209-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD STE 243",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600779945",
            "telephone_number": "224-255-7581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2726 W Jarlath St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606451318",
            "country_code": "US",
            "telephone_number": "847-209-9435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOCUSED AND BALANCE LIFE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "MIRETZKY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-209-9435"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.