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JASON DIBBEN LMSW
NPI 1811773286
Social Worker - Clinical in Waterloo, IA

Active since September 01, 2023PECOS EnrolledAccepts Medicare Assignment
3251 W 9TH ST, WATERLOO, IA 50702(319) 234-2893 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jason Dibben Lmsw NPPES

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

JASON DIBBEN LMSW (NPI 1811773286) is an individual clinical provider in Waterloo, Iowa, licensed in Iowa (095333) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811773286
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJASON DIBBENCredential: LMSW
Location Address3251 W 9TH STWaterloo, IA 50702-5310
Mailing Address3251 W 9th StWaterloo, IA 50702-5310 · (319) 234-2893
Phone(319) 234-2893
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 1, 2023
NPPES CertifiedSeptember 1, 2023
✔ NPI 1811773286 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 IA · 095333
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.
3251 W 9TH ST, Waterloo, IA 50702
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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

Jason Dibben Lmsw 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 ID9931682390
PECOS Enrollment IDI20260313000891
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 Jason Dibben reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Black Hawk-Grundy Mental Health Center Inc.
0.1 mi
Mental Health (Including Community Mental Health Center)
3251 W 9TH ST
Waterloo, IA 50702
  • Reassigned Medicare billing, Iowa enrollment
  • 28 clinicians in this Medicare group
NPI 1316944598 (319) 234-2893

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 50702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.96 – $161.40
Typical copayment $0.00 (range $13.24 – $40.35)
Most-billed visit code NA
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. BROOKE HOLMES RN
Registered Nurse (Psychiatric/Mental Health)
3251 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 234-2893
DR. JAMES HOWARD HARDING PH.D
Psychologist
3251 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 234-2893
GABRIELLA L HAYWOOD LMSW
Social Worker
3251 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 234-2893
AUTUMN SCHRAGE I LISW
Social Worker (Clinical)
3251 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 234-2893
MR. NICHOLAS DONALD ROSAUER LMSW
Social Worker (Clinical)
3251 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 234-2893
MARY ELISE HIGH
Social Worker (Clinical)
3251 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 415-7981
KELSEY OSTENDORF
Social Worker (Clinical)
3251 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 234-2893
MS. SHELLY MARIE WHALEN LMSW
Social Worker (Clinical)
3251 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 269-6146

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 Jason Dibben's NPI number?

The NPI number for Jason Dibben is 1811773286. It was assigned to this individual provider in the NPPES registry on September 1, 2023.

Where is Jason Dibben located?

Jason Dibben practices at 3251 W 9th St, Waterloo, IA 50702. The listed phone number is (319) 234-2893.

What is Jason Dibben's specialty?

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

Is Jason Dibben enrolled in Medicare?

Yes. Jason Dibben 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 organization bills Medicare for Jason Dibben's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Dibben reassigns Medicare benefits to Black Hawk-Grundy Mental Health Center Inc. (Waterloo, IA). 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 Jason Dibben'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 Jason Dibben was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.