MR. JARED MUELLER (LISW) – Clinical Social Worker, NPI 1255659579

MR. JARED MUELLER (LISW) is a healthcare provider. based in Dayton, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I.1700106 (OH). The NPI Number for MR. JARED MUELLER (LISW) is 1255659579

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. JARED MUELLER (LISW)
NPI
1255659579
Phone
(937) 474-8772
Address
425 N Findlay St
Enumeration Date
11 May 2010
Last Update Date
29 December 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9374902090
Graduation Year
2011 (15 years ago)
PAC ID
7416281811
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20190618002754
Address ID
OH454403286BE4172XRDXX402
Telehealth
Yes

Contacts

Secure Messaging
jmueller660446@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MR. JARED MUELLER (LISW)

  • 425 N Findlay St

    Dayton, OH 454042203

    Phone: (937) 474-8772

    Type: Location

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8493

    Type: Mailing

  • 6661 CLYO RD

    CENTERVILLE, OH 454592767

    Phone: (937) 425-4000

    Fax: (937) 425-4002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190618002754IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour6312$0
View full utilization report →

Insurance plans in this area (ZIP 45404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

Can I use this page to confirm MR. JARED MUELLER (LISW)'s NPI?
Yes. MR. JARED MUELLER (LISW) is listed with NPI 1255659579 in the public NPI dataset.
Does the file indicate MR. JARED MUELLER (LISW) is practicing under active NPI?
Directory data currently reports MR. JARED MUELLER (LISW) as active.
What is MR. JARED MUELLER (LISW)'s specialty?
The listing groups MR. JARED MUELLER (LISW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does MR. JARED MUELLER (LISW) list a practice location?
Patients near Dayton, Ohio may find MR. JARED MUELLER (LISW) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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