Eva Balfanz, LPC
NPI 1154796357 · Professional Counselor · Sun Prairie, WI
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eva Balfanz, LPC is a Professional Counselor provider in Sun Prairie, WI (NPI 1154796357).
Provider details
- NPI number
- 1154796357
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 5195-125 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
75 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 75 | $110 |
Typical Medicare-allowed amounts for these services range $110–$110 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-14
- Last updated
- 2020-12-30
- Certified
- 2020-12-30
Frequently asked questions
- What is Eva Balfanz's NPI number?
- Eva Balfanz's National Provider Identifier (NPI) is 1154796357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eva Balfanz's specialty?
- Eva Balfanz is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Eva Balfanz located?
- Eva Balfanz's practice location on file with NPPES is 10 Tower Dr, Sun Prairie, WI 53590-1239.
- What is Eva Balfanz's phone number?
- The practice phone number listed in the NPPES registry for Eva Balfanz is (608) 825-3008.
- Does Eva Balfanz accept Medicare?
- Eva Balfanz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Eva Balfanz's NPI active?
- Yes — Eva Balfanz's NPI (1154796357) is active in the NPPES registry as of the last update on 2020-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.