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MR. JASON MICHAEL BALLOU LCSW
NPI 1265152441
Social Worker - Clinical in Los Angeles, CA

Active since August 30, 2022PECOS Enrolled
1625 SCHRADER BLVD, LOS ANGELES, CA 90028(323) 993-7500 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 6, 2025, Nov 8, 2022, Aug 30, 2022 (3 updates tracked since 2022).

About Mr. Jason Michael Ballou Lcsw NPPES

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

MR. JASON MICHAEL BALLOU LCSW (NPI 1265152441) is an individual clinical provider in Los Angeles, California and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265152441
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JASON MICHAEL BALLOUCredential: LCSW
Location Address1625 SCHRADER BLVDLos Angeles, CA 90028-6213
Mailing Address1625 Schrader BlvdLos Angeles, CA 90028-6213
Phone(323) 993-7500
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 30, 2022
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1265152441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1625 SCHRADER BLVD, Los Angeles, CA 90028
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jason Michael Ballou Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325536816
PECOS Enrollment IDI20251024004315
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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Ballou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles Lgbt Center
Same address
Federally Qualified Health Center (FQHC)
1625 SCHRADER BLVD
Los Angeles, CA 90028
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group
NPI 1548298532 (323) 993-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. KEVIN THOMAS MARX PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7467
DEVIKA SHANKAR
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7504
AUDREY MACASIEB
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8910
ANEDRA PRESSLEY RN
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7434
DELANEY MCHUGO
Student in an Organized Health Care Education/Training Program
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-2914
ALAN GAONA
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8971
MR. RISHAD LAWYER LMFT
Marriage & Family Therapist
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7500
ACE SEIDEL
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (213) 466-5021

Frequently 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 Jason Ballou's NPI number?

The NPI number for Jason Ballou is 1265152441. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Jason Ballou located?

Jason Ballou practices at 1625 Schrader Blvd, Los Angeles, CA 90028. The listed phone number is (323) 993-7500.

What is Jason Ballou's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jason Ballou enrolled in Medicare?

Yes. Jason Ballou is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jason Ballou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Ballou reassigns Medicare benefits to Los Angeles Lgbt Center (Los Angeles, CA). The 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 Jason Ballou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Ballou was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.