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JEANNETTE BALBONI
NPI 1639676729
Counselor - Mental Health in Port Orange, FL

Active since April 06, 2018PECOS Enrolled
900 N SWALLOW TAIL DR, PORT ORANGE, FL 32129(413) 896-6263 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeannette Balboni NPPES

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

JEANNETTE BALBONI (NPI 1639676729) is an individual mental health provider in Port Orange, Florida, licensed in Florida (MH25264) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639676729
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJEANNETTE BALBONI
Location Address900 N SWALLOW TAIL DRPort Orange, FL 32129-6102
Mailing Address6 Whitehall CtFlagler Beach, FL 32136-4906 · (413) 896-6263
Phone(413) 896-6263
Sole ProprietorNo
Enumeration DateApril 6, 2018
Last NPPES UpdateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
✔ NPI 1639676729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in FL · MH25264✔ Licensed in KS · LCPC03094
900 N SWALLOW TAIL DR, Port Orange, FL 32129
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannette Balboni is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jeannette Balboni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sma Healthcare Inc
6.0 mi
Mental Health (Including Community Mental Health Center)
1220 WILLIS AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 114 clinicians in this Medicare group
NPI 1356329163 (386) 236-3225

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 6

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

KATHLEEN GLESS MSW
Counselor (Mental Health)
900 N SWALLOW TAIL DR
PORT ORANGE, FL 32129
Volusia County (386) 333-9717
DR. PANTEA TAVAKOLI-KHAZRAEE DDS
Dentist
900 N SWALLOW TAIL DR, SUITE 103
PORT ORANGE, FL 32129
Volusia County (386) 788-5000
DR. BETHANY RAUDENBUSH DC
Chiropractor
900 N SWALLOW TAIL DR
PORT ORANGE, FL 32129
Volusia County (518) 536-0574
FOCUS FORWARD CHIROPRACTIC
Chiropractor
900 N SWALLOW TAIL DR
PORT ORANGE, FL 32129
Volusia County (518) 536-0574
KALEY HARLACHER
Speech-Language Pathologist
900 N SWALLOW TAIL DR, 107
PORT ORANGE, FL 32129
Volusia County (386) 446-9935
LYNDSEY CLAIRDAY BURD
Speech-Language Pathologist
900 N SWALLOW TAIL DR
PORT ORANGE, FL 32129
Volusia County (386) 446-9935

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 Jeannette Balboni's NPI number?

The NPI number for Jeannette Balboni is 1639676729. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Jeannette Balboni located?

Jeannette Balboni practices at 900 N Swallow Tail Dr, Port Orange, FL 32129. The listed phone number is (413) 896-6263.

What is Jeannette Balboni's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jeannette Balboni enrolled in Medicare?

Yes. Jeannette Balboni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeannette Balboni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannette Balboni reassigns Medicare benefits to Sma Healthcare Inc (Daytona Beach, FL). 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 Jeannette Balboni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeannette Balboni accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and Oscar Health Maintenance Organization of Florida list Jeannette Balboni 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 Jeannette Balboni was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.