KYLE DEAN BALLENTINE
NPI 1467006718
Marriage & Family Therapist in Arcadia, CA

Active since July 25, 2019PECOS EnrolledAccepts Medicare Assignment
41 E FOOTHILL BLVD STE 102, ARCADIA, CA 91006(626) 701-4249 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kyle Dean Ballentine NPPES

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

KYLE DEAN BALLENTINE (NPI 1467006718) is an individual marriage & family therapist in Arcadia, California, licensed in California (114496) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467006718
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKYLE DEAN BALLENTINE
Location Address41 E FOOTHILL BLVD STE 102Arcadia, CA 91006-2361
Mailing Address41 E Foothill Blvd Ste 102Arcadia, CA 91006-2361 · (626) 701-4249
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 25, 2019
✔ NPI 1467006718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 114496
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
41 E FOOTHILL BLVD STE 102, Arcadia, CA 91006

Other Identifiers 1

Other114496CA · Bbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Dean Ballentine 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 ID8022460104
PECOS Enrollment IDI20240115001522
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 Reassignments

2

Medicare enrollment records show Kyle Ballentine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
Same address
Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 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.

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.

Social Worker (Clinical)
41 E FOOTHILL BLVD STE 102
ARCADIA, CA 91006
Marriage & Family Therapist
41 E FOOTHILL BLVD STE 102
ARCADIA, CA 91006
Social Worker (Clinical)
41 E FOOTHILL BLVD STE 102
ARCADIA, CA 91006
Social Worker (Clinical)
41 E FOOTHILL BLVD STE 102
ARCADIA, CA 91006
Social Worker (Clinical)
41 E FOOTHILL BLVD STE 102
ARCADIA, CA 91006
Marriage & Family Therapist
41 E FOOTHILL BLVD STE 102
ARCADIA, CA 91006
Marriage & Family Therapist
41 E FOOTHILL BLVD STE 102
ARCADIA, CA 91006
Marriage & Family Therapist
41 E FOOTHILL BLVD STE 102
ARCADIA, CA 91006

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 Kyle Ballentine's NPI number?

The NPI number for Kyle Ballentine is 1467006718. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Kyle Ballentine located?

Kyle Ballentine practices at 41 E Foothill Blvd Ste 102, Arcadia, CA 91006. The listed phone number is (626) 701-4249.

What is Kyle Ballentine's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kyle Ballentine enrolled in Medicare?

Yes. Kyle Ballentine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kyle Ballentine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Ballentine reassigns Medicare benefits to 2 organizations: Soultenders Psychological Services, Inc. (Arcadia, CA) and Soultenders, Inc. (Arcadia, CA). Each 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 Kyle Ballentine'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 Kyle Ballentine was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.