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LIFE WELL BALANCED LLC
NPI 1265939672
Social Worker - Clinical in O Fallon, MO

Active since April 11, 2018
103 LINCOLN ST, O FALLON, MO 63366(636) 443-3704(636) 294-0530 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Life Well Balanced Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE WELL BALANCED LLC (NPI 1265939672) is a healthcare organization registered as a clinical in O Fallon, Missouri and active in the NPI registry since April 2018. The organization lists Sara Ann Carter, Owner, as its authorized official.

NPPES Registry Identity

NPI1265939672
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFE WELL BALANCED LLC
Location Address103 LINCOLN STO Fallon, MO 63366-1603
Mailing Address30 Oak Valley DrSaint Peters, MO 63376-3721 · (636) 443-3704 · Fax (636) 294-0530
Phone(636) 443-3704
Fax(636) 294-0530
Organization SubpartNo
Authorized OfficialSara Ann CarterOwner · (636) 443-3704
Enumeration DateApril 11, 2018
✔ NPI 1265939672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MO · 2013045632
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
103 LINCOLN ST, O Fallon, MO 63366
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Well Balanced 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 Life Well Balanced LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sara Carter-Jameson, L.C.S.W
Clinical Social Worker
NPI 1073063343
103 LINCOLN ST
O Fallon, MO 63366
(636) 443-3704
✔ PECOSSame address

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 Life Well Balanced LLC's NPI number?

The NPI number for Life Well Balanced LLC is 1265939672. It was assigned to this organization in the NPPES registry on April 11, 2018.

Where is Life Well Balanced LLC located?

Life Well Balanced LLC is located at 103 Lincoln St, O Fallon, MO 63366. The listed phone number is (636) 443-3704.

What is Life Well Balanced LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Life Well Balanced LLC enrolled in Medicare?

Yes. Life Well Balanced LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Well Balanced LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Life Well Balanced 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 Life Well Balanced LLC was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.