AMANDA IRENE BALZANO LPCC-S NPI 1396325742

NPI Information

NPI: 1396325742
Provider Name: AMANDA IRENE BALZANO, LPCC-S
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7232 JUSTIN WAY
MENTOR, OH
ZIP 44060
Phone: (440) 578-8200
Get Directions

Amanda Irene Balzano, LPCC-S is a counselor in Mentor, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Amanda Irene Balzano, LPCC-S NPI is 1396325742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7232 JUSTIN WAY
MENTOR, OH
ZIP 44060-881
Phone: (440) 578-8200

The NPI 1396325742 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/10/2021 and was last updated on 6/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		E.1300132-SUPV	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0439292	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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