MR. DAVID SHAWN BALICKI LMFT
NPI 1720372774
Marriage & Family Therapist in San Jose, CA

Q: What is David Balicki's NPI number?

The NPI number for David Balicki is 1720372774. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Q: What is David Balicki's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for David Balicki was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 07, 2011PECOS Enrolled

96 S 14TH ST, SAN JOSE, CA 95112(408) 261-7777(408) 642-6052 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2025, Sep 3, 2019 (2 updates tracked since 2019).

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About Mr. David Shawn Balicki Lmft NPPES

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

MR. DAVID SHAWN BALICKI LMFT (NPI 1720372774) is an individual marriage & family therapist in San Jose, California, licensed in California (87584) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720372774

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. DAVID SHAWN BALICKICredential: LMFT

Location Address96 S 14TH STSan Jose, CA 95112-2015

Mailing Address1922 The AlamedaSan Jose, CA 95126-1457 · (408) 483-0439

Phone(408) 261-7777

Fax(408) 642-6052

Sole ProprietorNo

Enumeration DateJune 7, 2011

Last NPPES UpdateJune 3, 20252 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1720372774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 87584

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

96 S 14TH ST, San Jose, CA 95112

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Shawn Balicki Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

KERRY MCLAUGHLIN CADC-II

Counselor (Addiction (Substance Use Disorder))