BALANCED MIND WELLNESS CLINIC LLC
NPI 1689490385
Nurse Practitioner - Psychiatric/Mental Health in Lebanon, OH

Active since November 26, 2024
1117 KIRBY RD, LEBANON, OH 45036(513) 716-4395 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Balanced Mind Wellness Clinic Llc NPPES

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

BALANCED MIND WELLNESS CLINIC LLC (NPI 1689490385) is a healthcare organization registered as a psychiatric/mental health in Lebanon, Ohio and active in the NPI registry since November 2024. The organization lists Allison Damron, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689490385
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBALANCED MIND WELLNESS CLINIC LLC
Location Address1117 KIRBY RDLebanon, OH 45036-9618
Mailing Address1117 Kirby RdLebanon, OH 45036-9618 · (513) 716-4395
Organization SubpartNo
Authorized OfficialAllison DamronOffice Manager · (513) 716-4395
Enumeration DateNovember 26, 2024
Last NPPES UpdateApril 11, 2025
NPPES CertifiedApril 11, 2025
✔ NPI 1689490385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1117 KIRBY RD, Lebanon, OH 45036

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Balanced Mind Wellness Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Balanced Mind Wellness Clinic LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1396147435
615 ELSINORE PL
Cincinnati, OH 45202
(513) 231-6630
✔ PECOS29 mi
Nurse Practitioner
NPI 1003655309
5500 MAGNOLIA RUN CIR APT 107
Virginia Beach, VA 23464
(513) 373-6017
✔ PECOS476 mi

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 Balanced Mind Wellness Clinic LLC's NPI number?

The NPI number for Balanced Mind Wellness Clinic LLC is 1689490385. It was assigned to this organization in the NPPES registry on November 26, 2024.

Where is Balanced Mind Wellness Clinic LLC located?

Balanced Mind Wellness Clinic LLC is located at 1117 Kirby Rd, Lebanon, OH 45036. The listed phone number is (513) 716-4395.

What is Balanced Mind Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Balanced Mind Wellness Clinic LLC enrolled in Medicare?

Yes. Balanced Mind Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Balanced Mind Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Balanced Mind Wellness Clinic 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.

What insurance does Balanced Mind Wellness Clinic LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Balanced Mind Wellness Clinic LLC 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 Balanced Mind Wellness Clinic LLC was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.