CMS-1500 Box 24J / 33a • NPI
1568956167
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QM0801X (CMS B4[14])
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
1140 S LINDEN RD, FLINT, MI, 48532-3437
✓ 9-Digit EDI 837 ZIP+4 (48532-3437)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1568956167 (BALANCED MINDS WELLNESS GROUP LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1568956167 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BALANCED MINDS WELLNESS GROUP LLC |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QM0801X (Clinic/Center, Mental Health (Including Community Mental Health Center)) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 1140 S LINDEN RD, FLINT, MI, 48532-3437 |
| Practice Telephone / Fax | Tel: (810) 240-9472 |
| Administrative Mailing Address | 9427 NASHUA TRL, FLUSHING, MI, 48433-8837 |
| Enumeration & Last Sync | Enumerated: 2018-06-18 | CMS Record Updated: 2018-06-18 |
| Authorized Official | ASHLEY THOMAS (Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QM0801X)
What Does Taxonomy Code 261QM0801X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0801X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BALANCED MINDS WELLNESS GROUP LLC)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QM0801X — Clinic/Center, Mental Health (Including Community Mental Health Center)Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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