MS. MARY KATHLEEN BALKON LMSW
NPI 1376811844
Social Worker - Clinical in Grand Rapids, MI
About Ms. Mary Kathleen Balkon Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY KATHLEEN BALKON LMSW (NPI 1376811844) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801090757) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Mary Kathleen Balkon Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Balkon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49506
- Reassigned Medicare billing, Michigan enrollment
- 287 clinicians in this Medicare group
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 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Mary Balkon's NPI number?
The NPI number for Mary Balkon is 1376811844. It was assigned to this individual provider in the NPPES registry on December 12, 2011.
Where is Mary Balkon located?
Mary Balkon practices at 100 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (616) 965-8200.
What is Mary Balkon's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mary Balkon enrolled in Medicare?
Yes. Mary Balkon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Balkon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Balkon reassigns Medicare benefits to Counseling Center Of West Michigan, LLC (Grand Rapids, MI). 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 Mary Balkon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Balkon accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mary Balkon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Balkon was last updated on January 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ms. Mary Kathleen Balkon, LMSW · NPI 1376811844
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since December 12, 2011.
## Identity
- **NPI:** 1376811844 (Entity type: Individual)
- **Enumerated:** December 12, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801090757 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 CHERRY ST SE, Grand Rapids, MI 49503-4526
- **Phone:** (616) 965-8200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Counseling Center Of West Michigan, LLC (NPI 1437610730, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1376811844) · Data from the CMS NPPES public registry.