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JONATHAN BALCAR LCSW
NPI 1881562452
Social Worker - Clinical in Jacksonville, FL

Active since October 27, 2025PECOS EnrolledAccepts Medicare Assignment
14286 BEACH BLVD STE 19 PMB 163, JACKSONVILLE, FL 32250(904) 552-5727 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Balcar Lcsw NPPES

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

JONATHAN BALCAR LCSW (NPI 1881562452) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW23031) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881562452
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJONATHAN BALCARCredential: LCSW
Location Address14286 BEACH BLVD STE 19 PMB 163Jacksonville, FL 32250
Mailing Address14286 Beach Blvd Ste 19, Pmb 163Jacksonville, FL 32250 · (904) 552-5727
Phone(904) 552-5727
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1881562452 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 FL · SW23031
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.
14286 BEACH BLVD STE 19 PMB 163, Jacksonville, FL 32250
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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 and accepts Medicare assignment

Jonathan Balcar Lcsw 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 ID6305337130
PECOS Enrollment IDI20251119001292
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 Jonathan Balcar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emery Milne Psychological Group, LLC
17 mi
Clinical
165 WELLS RD STE 304
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1548741705 (904) 720-4040
Mental Health Specialty Group PA
420 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 32250 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Jonathan Balcar's NPI number?

The NPI number for Jonathan Balcar is 1881562452. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Where is Jonathan Balcar located?

Jonathan Balcar practices at 14286 Beach Blvd Ste 19 Pmb 163, Jacksonville, FL 32250. The listed phone number is (904) 552-5727.

What is Jonathan Balcar's specialty?

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

Is Jonathan Balcar enrolled in Medicare?

Yes. Jonathan Balcar 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 Jonathan Balcar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Balcar reassigns Medicare benefits to 2 organizations: Emery Milne Psychological Group, LLC (Orange Park, FL) and Mental Health Specialty Group PA (Durham, NC). 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 Jonathan Balcar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Balcar accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Jonathan Balcar 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 Jonathan Balcar was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.