LIVE LIFE BALANCED HEALING, LLC
NPI 1184402505
Clinic/Center - Adult Mental Health in Minneapolis, MN
About Live Life Balanced Healing, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVE LIFE BALANCED HEALING, LLC (NPI 1184402505) is a healthcare organization registered as an adult mental health in Minneapolis, Minnesota and active in the NPI registry since September 2023. The organization lists Shireen Ghanatabadi, Owner/therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Live Life Balanced Healing, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Live Life Balanced Healing, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Live Life Balanced Healing, LLC's NPI number?
The NPI number for Live Life Balanced Healing, LLC is 1184402505. It was assigned to this organization in the NPPES registry on September 18, 2023.
Where is Live Life Balanced Healing, LLC located?
Live Life Balanced Healing, LLC is located at 2546 Johnson St NE, Minneapolis, MN 55418. The listed phone number is (612) 444-1655.
What is Live Life Balanced Healing, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Live Life Balanced Healing, LLC enrolled in Medicare?
Yes. Live Life Balanced Healing, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Live Life Balanced Healing, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Live Life Balanced Healing, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Live Life Balanced Healing, LLC was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Live Life Balanced Healing, Llc · NPI 1184402505
Adult Mental Health organization in Minneapolis, Minnesota. Organization record, active in the CMS NPPES registry since September 18, 2023.
## Identity
- **NPI:** 1184402505 (Entity type: Organization)
- **Enumerated:** September 18, 2023
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Shireen Ghanatabadi, OWNER/THERAPIST
## Practice location
- **Address:** 2546 JOHNSON ST NE, Minneapolis, MN 55418-3941
- **Phone:** (612) 444-1655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184402505) · Data from the CMS NPPES public registry.