Balanced Life Counseling LLC
NPI 1619634177ActiveOrganization· Social Worker, Clinical· Wallingford, CT
Social Worker, Clinical in Wallingford, Connecticut, registered in NPPES in November 2021. The authorized official on file is Samantha Nicole Forst, LCSW, Social Worker. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619634177 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2021 |
| Last updated in NPPES | Jul 3, 2023 |
| Certified by provider | Jul 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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