Organization Active NPI

Balanced Life Counseling LLC

  • Mental Health Counselor
  • Jackson, MI
National Provider Identifier
1992013999
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BALANCED LIFE COUNSELING LLC
Practice address
762 W Michigan Ave
Suite E
Jackson, MI 49201-1963
Phone
(517) 962-5022
Fax
(517) 962-5195
NPI assigned
Sep 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Ms. Patricia Anne Ryals
Title
Administrator
Phone
(517) 962-5022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MI Primary

Addresses

Primary practice location

762 W Michigan Ave
Suite E
Jackson, MI 49201-1963

Mailing address

762 W Michigan Ave
Suite E
Jackson, MI 49201-1963
Phone (517) 962-5022

National Provider Directory

National Provider Directory

Locations

950 W Monroe St
Ste G100
Jackson, MI 49202
Phone (517) 962-5022

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": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1992013999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 W MICHIGAN AVE",
            "address_2": "SUITE E",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011963",
            "telephone_number": "517-962-5022",
            "fax_number": "517-962-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 W MICHIGAN AVE",
            "address_2": "SUITE E",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011963",
            "telephone_number": "517-962-5022",
            "fax_number": "517-962-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "RYALS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "517-962-5022",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.