OLGA BALAKOVA LPC, LCADC, ACS, CCS
NPI 1366136434
Counselor - Mental Health in Rutherford, NJ

Active since June 02, 2023PECOS EnrolledAccepts Medicare Assignment
155 UNION AVE APT B1, RUTHERFORD, NJ 07070(201) 962-0770 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 21, 2023, Jun 2, 2023 (2 updates tracked since 2023).

About Olga Balakova Lpc, Lcadc, Acs, Ccs NPPES

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

OLGA BALAKOVA LPC, LCADC, ACS, CCS (NPI 1366136434) is an individual mental health provider in Rutherford, New Jersey, licensed in New Jersey (37PC00940800) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366136434
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameOLGA BALAKOVACredential: LPC, LCADC, ACS, CCS
Location Address155 UNION AVE APT B1Rutherford, NJ 07070-1584
Mailing Address155 Union Ave Apt B1Rutherford, NJ 07070-1584 · (201) 962-0770
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 2, 2023
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
NPI 1366136434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NJ · 37PC00940800
155 UNION AVE APT B1, Rutherford, NJ 07070

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Olga Balakova Lpc, Lcadc, Acs, Ccs 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 ID5991205080
PECOS Enrollment IDI20250822003712
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
155 UNION AVE APT B1
RUTHERFORD, NJ 07070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366136434, enumerated as an "individual" on June 02, 2023.

The provider is located at 155 UNION AVE APT B1 RUTHERFORD, NJ 07070 and the phone number is (201) 962-0770.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.