BALANCE FOR HEALTHY LIVING, PC (NPI# 1265740096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265740096 |
Entity Type | Organization |
Organization Name | BALANCE FOR HEALTHY LIVING, PC |
Practice Address |
3939 Ne Hancock St Suite 115 Portland OR 97212-5321 |
Practice Telephone | 5034079232 |
Practice Fax Number | 5033287081 |
Mailing Telephone | 5034079232 |
Mailing Fax Number | 5033287081 |
Enumeration Date | 2010-09-14 |
Last Update Date | 2017-02-08 |
Authorized Official Name | TIRZAH D. JACOB (BUSINESS OWNER & PRESIDENT) |
Authorized Official Telephone | 5034079232 |
Authorized Official Credential | MA, LPC, CADC-I |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
C1780 | OR | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
02-11-44 | OR | Behavioral Health & Social Service Providers |
N | 101Y00000X | Counselor | C1780 | OR | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
C1780 | OR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500601179 | 05 | |
OR | CAQH | 11607801 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | BALANCE FOR HEALTHY LIVING, PC | 4729 Ne 50th Place, Portland, OR 97218 |
Street Address |
3939 NE HANCOCK ST SUITE 115 |
City | PORTLAND |
State | OR |
Zip Code | 97212-5321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891799268 | Ann K Murakami | Psychologist | 3939 Ne Hancock St, # 312, Portland, OR 97212-5321 | 2005-06-13 |
1215478300 | Jessica Kieras LLC | Psychologist | 3939 Ne Hancock St, Suite 214, Portland, OR 97212-5321 | 2017-03-09 |
1033504188 | Molly Frye | Social Worker | 3939 Ne Hancock St, Portland, OR 97212-5321 | 2015-04-04 |
1366886475 | Yvonne Eileen Schroeder | Mechanotherapist | 3939 Ne Hancock St, Suite 311, Portland, OR 97212-5321 | 2013-04-18 |
1275871915 | Cayla Panitz | Counselor | 3939 Ne Hancock St, Suite 310, Portland, OR 97212-5321 | 2013-01-30 |
1114286705 | David A Ryan | Social Worker | 3939 Ne Hancock St, Suite 305, Portland, OR 97212-5321 | 2012-05-16 |
1558631762 | Laura Santi Acupuncture | Acupuncturist | 3939 Ne Hancock St, Suite 208, Portland, OR 97212-5321 | 2012-01-04 |
1669758702 | Laurie J Cox | Social Worker | 3939 Ne Hancock St, Suite 201, Portland, OR 97212-5321 | 2011-11-02 |
1851687032 | Aaron Charles Vederman | Clinical Neuropsychologist | 3939 Ne Hancock St, Suite 212, Portland, OR 97212-5321 | 2011-06-25 |
1326366907 | Ursula Joan White | Nurse Practitioner | 3939 Ne Hancock St, Suite #307, Portland, OR 97212-5321 | 2010-05-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
Find all providers in zip 97212 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
Find all providers in PORTLAND |
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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.