MR. THOMAS K BALLENTINE LSW
NPI 1104084763
Social Worker in Columbus, OH

Q: What is Thomas Ballentine's NPI number?

The NPI number for Thomas Ballentine is 1104084763. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is Thomas Ballentine's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Ballentine was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment

6161 BUSCH BLVD STE 290, COLUMBUS, OH 43229(614) 987-5003(614) 987-5041 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2021, Oct 12, 2020 (2 updates tracked since 2020).

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About Mr. Thomas K Ballentine Lsw NPPES

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

MR. THOMAS K BALLENTINE LSW (NPI 1104084763) is an individual social worker in Columbus, Ohio, licensed in Ohio (S.2005473) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104084763

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. THOMAS K BALLENTINECredential: LSW

Location Address6161 BUSCH BLVD STE 290Columbus, OH 43229-2587

Mailing Address651 Humble DrDe Graff, OH 43318-9654 · (937) 524-6459

Phone(614) 987-5003

Fax(614) 987-5041

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 29, 2008

Last NPPES UpdateMay 19, 20212 updates tracked since enumeration

NPPES CertifiedMay 19, 2021

✔ NPI 1104084763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in OH · S.2005473

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 030102 (OH)

6161 BUSCH BLVD STE 290, Columbus, OH 43229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas K Ballentine Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294240917

PECOS Enrollment IDI20250711003731

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 16

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

MRS. MISTI RHIANNA KAWASAKI

Counselor (Addiction (Substance Use Disorder))