Jennifer Staten, Lcsw, LLC
NPI 1629669981ActiveOrganization· Clinic/Center· Sulphur Springs, TX
Clinic/Center in Sulphur Springs, Texas, registered in NPPES in January 2021. The authorized official on file is Jennifer N. Staten, LCSW, Owner/Operator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629669981 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2021 |
| Last updated in NPPES | Mar 11, 2023 |
| Certified by provider | Mar 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Clinic/Center providers in Sulphur Springs
- 1265830681
- 1114399318
- 1649508565
- 1013496595