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JAY ALAN BASTIAN LCSW
NPI 1912363375
Social Worker in Fort Wayne, IN

Active since January 14, 2016PECOS EnrolledAccepts Medicare Assignment
9329 ILLINOIS RD, FORT WAYNE, IN 46804(260) 418-9653 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2024, Jan 14, 2016 (2 updates tracked since 2016).

About Jay Alan Bastian Lcsw NPPES

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

JAY ALAN BASTIAN LCSW (NPI 1912363375) is an individual social worker in Fort Wayne, Indiana, licensed in Indiana (33007337A) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912363375
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJAY ALAN BASTIANCredential: LCSW
Location Address9329 ILLINOIS RDFort Wayne, IN 46804-5796
Mailing Address9329 Illinois RdFort Wayne, IN 46804-5796 · (260) 418-9653
Phone(260) 418-9653
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 14, 2016
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1912363375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IN · 33007337A
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
9329 ILLINOIS RD, Fort Wayne, IN 46804
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Jay Alan Bastian 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 ID840610689
PECOS Enrollment IDI20201020002847
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 Jay Bastian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jay Bastian LLC
Same address
Clinical
9329 ILLINOIS RD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
NPI 1740780204 (260) 418-9653
Rdr Devine, LLC
7.7 mi
Mental Health
6157 STONEY CREEK DR
Fort Wayne, IN 46825
  • Reassigned Medicare billing, Indiana enrollment
  • 16 clinicians in this Medicare group
NPI 1043828411 (260) 570-4515

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.

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 BASTIAN LLC
Social Worker (Clinical)
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's NPI number?

The NPI number for Jay Bastian is 1912363375. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Where is Jay Bastian located?

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

What is Jay Bastian's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jay Bastian enrolled in Medicare?

Yes. Jay Bastian 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 Jay Bastian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Bastian reassigns Medicare benefits to 2 organizations: Jay Bastian LLC (Fort Wayne, IN) and Rdr Devine, LLC (Fort Wayne, IN). 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 Jay Bastian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay Bastian accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare list Jay Bastian 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 Jay Bastian was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.