OrganizationActive
Balance and Renewal PLLC
NPI 1790645638 · Clinical Social Worker · Ammon, ID
Balance and Renewal PLLC is a Clinical Social Worker organization in Ammon, ID (NPI 1790645638).
Provider details
- NPI number
- 1790645638
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Adam Nickell, Owner/ Provider(208) 534-6484
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2705 E 17th St
Ammon, ID 83406-6669
Phone: (208) 534-6484
Street-level locationGet directions
Mailing address
3270 E 17th St # 131
Ammon, ID 83406-6758
Registry dates
- Enumerated
- 2025-11-13
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Frequently asked questions
- What is Balance and Renewal PLLC's NPI number?
- Balance and Renewal PLLC's National Provider Identifier (NPI) is 1790645638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Balance and Renewal PLLC?
- Balance and Renewal PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Balance and Renewal PLLC located?
- Balance and Renewal PLLC's practice location on file with NPPES is 2705 E 17th St, Ammon, ID 83406-6669.
- What is Balance and Renewal PLLC's phone number?
- The practice phone number listed in the NPPES registry for Balance and Renewal PLLC is (208) 534-6484.
- Who is the authorized official for Balance and Renewal PLLC?
- The authorized official listed on Balance and Renewal PLLC's NPPES record is Adam Nickell, Owner/ Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Balance and Renewal PLLC's NPI active?
- Yes — Balance and Renewal PLLC's NPI (1790645638) is active in the NPPES registry as of the last update on 2025-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.