LIFESTANCE HEALTH
NPI 1790186385
Psychologist - Clinical in Moore, OK
About Lifestance Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESTANCE HEALTH (NPI 1790186385) is a healthcare organization registered as a clinical in Moore, Oklahoma and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through February 18, 2028, maintains 8 additional practice locations, and lists Ryan Pardo, Chief Legal Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 8
Group Practice 1
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)
Lifestance Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
99Medicare enrollment records show 99 clinicians reassign Medicare billing to Lifestance Health, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 99Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D2338867
Lifestance Health · Moore, OKFrequently 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 Balance Women's Health, LLC's NPI number?
The NPI number for Balance Women's Health, LLC is 1790186385. It was assigned to this organization in the NPPES registry on September 15, 2014. The provider is doing business as Lifestance Health.
Where is Balance Women's Health, LLC located?
Balance Women's Health, LLC is located at 1105 SW 30th Ct, Moore, OK 73160. The listed phone number is (405) 378-2727.
What is Balance Women's Health, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Balance Women's Health, LLC enrolled in Medicare?
Yes. Balance Women's Health, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Balance Women's Health, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 99 clinicians in 5 Medicare specialties reassign their Medicare billing to Balance Women's Health, 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. The largest specialties are Mental Health Counselor (41), Clinical Social Worker (26) and Nurse Practitioner (20). Of these, 29 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Balance Women's Health, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2338867) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Balance Women's Health, LLC accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Balance Women's Health, 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 Balance Women's Health, LLC was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lifestance Health · NPI 1790186385
Clinical organization in Moore, Oklahoma. Organization record, active in the CMS NPPES registry since September 15, 2014.
## Identity
- **NPI:** 1790186385 (Entity type: Organization)
- **Enumerated:** September 15, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Legal business name:** Balance Women's Health, Llc
- **Organization subpart:** No
- **Authorized official:** Ryan Pardo, CHIEF LEGAL OFFICER
## Practice location
- **Address:** 1105 SW 30TH CT, Moore, OK 73160
- **Phone:** (405) 378-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 99 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (41), Clinical Social Worker (26), Nurse Practitioner (20); 29 practice at this address and 34 within 10 miles; [full list](https://npiprofile.com/npi/1790186385/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790186385) · Data from the CMS NPPES public registry.