NPI 1164237335 · live from the CMS NPI Registry
Elena Marie Balmaseda
Marriage & Family Therapist in Sycamore, IL. National Provider Identifier 1164237335, active.
NPI record
| NPI | 1164237335 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 240 Edward St, Sycamore, IL 60178 |
| Practice phone | 847-797-2689 |
| Enumerated | February 12, 2025 |
| Last updated | February 12, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 208001240 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.