Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeannette Balboni

Individual provider Mental Health Counselor · NPI 1639676729

Jeannette Balboni is a Mental Health Counselor in Port Orange, Florida. Qualified in 2003, 23 years ago. Licensed in Florida and Kansas.

Years since qualifying
23
Licensed in
FL, KS
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

900 N Swallow Tail Dr
Port Orange, FL 32129-6102
Phone: (413) 896-6263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH25264 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence LCPC03094 (KS)

Record details

NPI number1639676729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2018
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Port Orange