Balanced Life Counseling LLC
NPI 1619634177 · Clinical Social Worker · Wallingford, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Balanced Life Counseling LLC is a Clinical Social Worker organization in Wallingford, CT (NPI 1619634177).
Provider details
- NPI number
- 1619634177
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Samantha Forst, Social Worker(860) 901-7916
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-19
- Last updated
- 2023-07-03
- Certified
- 2023-07-03
Frequently asked questions
- What is Balanced Life Counseling LLC's NPI number?
- Balanced Life Counseling LLC's National Provider Identifier (NPI) is 1619634177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Balanced Life Counseling LLC?
- Balanced Life Counseling LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Balanced Life Counseling LLC located?
- Balanced Life Counseling LLC's practice location on file with NPPES is 45 Fair St, Wallingford, CT 06492-4208.
- What is Balanced Life Counseling LLC's phone number?
- The practice phone number listed in the NPPES registry for Balanced Life Counseling LLC is (860) 901-7916.
- Does Balanced Life Counseling LLC accept Medicare?
- Balanced Life Counseling LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Balanced Life Counseling LLC?
- The authorized official listed on Balanced Life Counseling LLC's NPPES record is Samantha Forst, Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Balanced Life Counseling LLC's NPI active?
- Yes — Balanced Life Counseling LLC's NPI (1619634177) is active in the NPPES registry as of the last update on 2023-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.