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JAY BASTIAN LLC
NPI 1740780204
Social Worker - Clinical in Fort Wayne, IN

Active since February 20, 2018
9329 ILLINOIS RD, FORT WAYNE, IN 46804(260) 418-9653 Get Directions Write a Review

NPPES record last updated: October 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2024, Feb 20, 2018 (2 updates tracked since 2018).

About Jay Bastian Llc NPPES

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

JAY BASTIAN LLC (NPI 1740780204) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since February 2018. The organization maintains a secondary practice location in Fort Wayne and lists Jay Alan Bastian, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1740780204
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJAY BASTIAN LLC
Location Address9329 ILLINOIS RDFort Wayne, IN 46804-5796
Mailing Address9329 Illinois RdFort Wayne, IN 46804-5796 · (260) 418-9653 · Fax (260) 209-0762
Phone(260) 418-9653
Organization SubpartNo
Authorized OfficialJay Alan BastianPsychotherapist · (260) 418-9653
Enumeration DateFebruary 20, 2018
Last NPPES UpdateOctober 26, 20242 updates tracked since enumeration
NPPES CertifiedOctober 26, 2024
✔ NPI 1740780204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34007970A
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.
9329 ILLINOIS RD, Fort Wayne, IN 46804
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Secondary Practice Location 1

Location 15420 Sherington RdFort Wayne, IN 46814-7510 · Phone (260) 418-9653

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

SAM BOOTH M.A.
Counselor (Mental Health)
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 444-6045
MR. DAVID LEE KURTZ MSW, LSW
Social Worker
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 204-0001
PEOPLE AND PATHWAYS CONSULTING LLC
Community/Behavioral Health
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 204-0001
BOOTH & COMPANY, INC.
Psychologist (Clinical)
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 755-5896
DR. SPENCER JENKINS BOOTH PSYD, HSPP
Psychologist (Clinical)
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 417-4885
JAY ALAN BASTIAN LCSW
Social Worker
9329 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 418-9653

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 Jay Bastian LLC's NPI number?

The NPI number for Jay Bastian LLC is 1740780204. It was assigned to this organization in the NPPES registry on February 20, 2018.

Where is Jay Bastian LLC located?

Jay Bastian LLC is located at 9329 Illinois Rd, Fort Wayne, IN 46804. The listed phone number is (260) 418-9653.

What is Jay Bastian LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jay Bastian LLC was last updated on October 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.