MARIA ALEJANDRA BALAN LMHC
NPI 1356996839
Counselor - Professional in Palmetto Bay, FL

Active since August 02, 2019PECOS EnrolledAccepts Medicare Assignment
17945 SW 97TH AVE APT 451, PALMETTO BAY, FL 33157(305) 992-3118 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maria Alejandra Balan Lmhc NPPES

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

MARIA ALEJANDRA BALAN LMHC (NPI 1356996839) is an individual professional provider in Palmetto Bay, Florida, licensed in Florida (MH17182) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1356996839
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARIA ALEJANDRA BALANCredential: LMHC
Location Address17945 SW 97TH AVE APT 451Palmetto Bay, FL 33157-5456
Mailing Address17945 Sw 97th Ave Apt 451Palmetto Bay, FL 33157-5456 · (305) 992-3118
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 2, 2019
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1356996839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in FL · MH17182
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH17182 (FL)
17945 SW 97TH AVE APT 451, Palmetto Bay, FL 33157

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria Alejandra Balan Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072001312
PECOS Enrollment IDI20251020002109
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maria Balan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
1611 NW 12TH AVE
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1063417483 (Florida)
  • 95 clinicians in this Medicare group

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 Maria Balan's NPI number?

The NPI number for Maria Balan is 1356996839. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Maria Balan located?

Maria Balan practices at 17945 SW 97th Ave Apt 451, Palmetto Bay, FL 33157. The listed phone number is (305) 992-3118.

What is Maria Balan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Maria Balan enrolled in Medicare?

Yes. Maria Balan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maria Balan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Balan reassigns Medicare benefits to Public Health Trust Of Miami Dade County Florida (Miami, FL). The 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 Maria Balan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Balan accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Maria Balan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Balan was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.