BALANCED LIVING THERAPY, LLC (NPI# 1063855609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063855609 |
| Entity Type | Organization |
| Organization Name | BALANCED LIVING THERAPY, LLC |
| Practice Address |
7500 212th St Sw Ste 205 Edmonds WA 98026-7617 |
| Practice Telephone | 4259774988 |
| Mailing Telephone | 4259774988 |
| Mailing Fax Number | 4259774989 |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2020-05-31 |
| Authorized Official Name | MS. MAGGIE CATHERINE ISHAQ (OWNER/LICENSED MENTAL HEALTH COUNS) |
| Authorized Official Telephone | 4259774988 |
| Authorized Official Credential | MS, LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2150671 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991487 | Balanced Living Therapy, LLC | Community/Behavioral Health | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2020-04-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BALANCED LIVING THERAPY, LLC | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 |
| Street Address |
7500 212TH ST SW STE 205 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306045604 | Maggie C Ishaq | Counselor | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2007-07-16 |
| 1659991487 | Balanced Living Therapy, LLC | Community/Behavioral Health | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2020-04-22 |
| 1346875192 | Mayra Alejandra Sanchez | Counselor | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2020-03-11 |
| 1821638818 | Lea Fingerhut | Student in an Organized Health Care Education/Training Program | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2020-01-08 |
| 1649810631 | Kylee Hellstern | Student in an Organized Health Care Education/Training Program | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2020-01-08 |
| 1710448444 | Jessica Marie | Counselor | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2019-03-26 |
| 1275059446 | Tara Ann Mounts | Counselor | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2017-08-18 |
| 1356879597 | Joan S Anderson | Counselor | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2017-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174084289 | Empowering Minds Pllc | Community/Behavioral Health | 4902 148th St Sw Apt A309, Edmonds, WA 98026-4042 | 2019-03-29 |
| 1659991487 | Balanced Living Therapy, LLC | Community/Behavioral Health | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2020-04-22 |
| 1265954135 | David Mattioli | Community/Behavioral Health | 20903 70th Ave W, Edmonds, WA 98026-7201 | 2017-07-12 |
| 1316498611 | Compassionate Pathways Psychology Services, LLC | Community/Behavioral Health | 8318 196th St Sw, Edmonds, WA 98026-6434 | 2016-10-21 |
| 1679970925 | Pacific Mental Health | Community/Behavioral Health | 316 Main St, Suite A1, Edmonds, WA 98020-3197 | 2014-12-02 |
| 1952654204 | Kate Lund Psychology, Pllc | Community/Behavioral Health | 300 Admiral Way, Suite 207, Edmonds, WA 98020-7230 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821539 | Cpf Breakthrough, LLC | Community/Behavioral Health | 11711 E Sprague Ave Ste D4, Spokane Valley, WA 99206-6122 | 2020-11-03 |
| 1538760111 | Nw Family Recovery Solutions | Community/Behavioral Health | 710 Bay St, Port Orchard, WA 98366-5310 | 2020-11-02 |
| 1891395091 | Art Nelson LLC | Community/Behavioral Health | 18679 15th Loop Ne, Poulsbo, WA 98370-7436 | 2020-10-27 |
| 1508463803 | Kim Lampson Pllc | Community/Behavioral Health | 9725 Se 36th St Ste 301, Mercer Island, WA 98040-3840 | 2020-10-08 |
| 1518573971 | Olive Crest | Community/Behavioral Health | 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 | 2020-09-21 |
| 1659980563 | Deborah M Connors Pllc | Community/Behavioral Health | 534 Ne Everett St Ste 201, Camas, WA 98607-2025 | 2020-07-27 |
| 1790393221 | Charmd Behavioral & Health LLC | Community/Behavioral Health | 4318 233rd Pl Se, Bothell, WA 98021-9057 | 2020-07-21 |
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1184241192 | Optimum Counseling, LLC | Community/Behavioral Health | 10710 Ne 10th St Apt 108, Bellevue, WA 98004-1033 | 2020-06-25 |
| 1467079467 | Recovery Cafe of Clark County | Community/Behavioral Health | 3312 E Fourth Plain Blvd Ste 100, Vancouver, WA 98661-5489 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.