JILLIAN BALOG MS
NPI 1689300733
Counselor - Mental Health in Miami, FL

Q: What is Jillian Balog's NPI number?

The NPI number for Jillian Balog is 1689300733. It was assigned to this individual provider in the NPPES registry on July 29, 2022. The provider is also known as Jillian Gifford.

Q: What is Jillian Balog's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jillian Balog was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 29, 2022PECOS Enrolled

1951 NW 7TH AVE STE 300, MIAMI, FL 33136(305) 902-6347 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jillian Balog Ms NPPES

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

JILLIAN BALOG MS (NPI 1689300733) is an individual mental health provider in Miami, Florida and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689300733

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJILLIAN BALOGCredential: MS

Location Address1951 NW 7TH AVE STE 300Miami, FL 33136-1112

Mailing Address5685 103rd Ter NPinellas Park, FL 33782-2708 · (727) 686-3250

Phone(305) 902-6347

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 29, 2022

NPPES CertifiedJuly 29, 2022

✔ NPI 1689300733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1951 NW 7TH AVE STE 300, Miami, FL 33136

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Other Names 1

Former Name (1)Jillian Gifford

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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)

Jillian Balog Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769940618

PECOS Enrollment IDI20260820002390

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

Grow Healthcare Group PA

1.6 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Florida enrollment
3,079 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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 18

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

JENNIFER BOWERS MSW

Social Worker (Clinical)