BALANCED LIFE COUNSELING LLC (NPI# 1164061727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164061727 |
| Entity Type | Organization |
| Organization Name | BALANCED LIFE COUNSELING LLC |
| Practice Address |
3919 Old Lee Hwy Ste 82c Fairfax VA 22030-2430 |
| Practice Telephone | 2027601998 |
| Mailing Telephone | 2027601998 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Authorized Official Name | MARY LANDON (PRESIDENT) |
| Authorized Official Telephone | 2027601998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPPES | 1235175068 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255798708 | Balanced Life Counseling LLC | Counselor | 7608 E 117th Ter, Kansas City, MO 64134-3925 | 2016-01-27 |
| 1992013999 | Balanced Life Counseling LLC | Counselor | 762 W Michigan Ave, Suite E, Jackson, MI 49201-1963 | 2010-09-24 |
| Street Address |
3919 OLD LEE HWY STE 82C |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235175068 | Mary M Landon | Counselor | 3919 Old Lee Hwy Ste 82c, Fairfax, VA 22030-2430 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 1821644840 | Simply Mindful Solutions | Community/Behavioral Health | 10650 Main St Ste 101a, Fairfax, VA 22030-3814 | 2019-08-15 |
| 1265946750 | Serene Solutions Counseling & Consulting Services, LLC | Community/Behavioral Health | 10621 Jones Street, 201b, Fairfax, VA 22030 | 2017-11-20 |
| 1982146262 | Healing Hearts Va, LLC | Community/Behavioral Health | 4000 Legato Rd Ste 1100, Fairfax, VA 22033-2893 | 2016-11-17 |
| 1003275660 | Integrative Psychotherapy Institute | Community/Behavioral Health | 3615 Chain Bridge Rd Ste I, Fairfax, VA 22030-3237 | 2016-02-11 |
| 1831569896 | Northern Virginia Older Adult Counseling | Community/Behavioral Health | 4700 Banting Ct, Fairfax, VA 22032-2451 | 2015-10-03 |
| 1366810392 | Bellwether Behavioral of Virginia, LLC | Community/Behavioral Health | 9932 Main St, Fairfax, VA 22031-3901 | 2015-09-08 |
| 1376933028 | Virginia Clinical Therapy Center | Community/Behavioral Health | 10805 Main St Ste 800, Fairfax, VA 22030-4729 | 2015-02-03 |
| 1508149907 | A.c.e Psychological Services | Community/Behavioral Health | 11198 Lee Hwy Ste D2, Fairfax, VA 22030-5009 | 2011-09-21 |
| 1689756140 | Pathway Homes, Inc. | Community/Behavioral Health | 8411 Arlington Blvd Ste 340, Fairfax, VA 22031-4601 | 2006-10-20 |
| 1811459274 | The Pragmatic Therapist | Community/Behavioral Health | 3900 University Dr Ste 320, Fairfax, VA 22030-2513 | 2019-04-04 |
| Find all providers in FAIRFAX | ||||
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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.