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MISS JENNIFER L STOUT-MIDDLECAMP LPC
NPI 1023378957
Counselor - Professional in Ambler, PA

Active since May 25, 2012PECOS Enrolled
156 S BETHLEHEM PIKE, AMBLER, PA 19002(267) 405-2321 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Jennifer L Stout-middlecamp Lpc NPPES

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

MISS JENNIFER L STOUT-MIDDLECAMP LPC (NPI 1023378957) is an individual professional provider in Ambler, Pennsylvania, licensed in Pennsylvania (PC006266) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1023378957
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS JENNIFER L STOUT-MIDDLECAMPCredential: LPC
Location Address156 S BETHLEHEM PIKEAmbler, PA 19002-5821
Mailing Address156 S Bethlehem PikeAmbler, PA 19002-5821 · (267) 405-2321
Phone(267) 405-2321
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMay 25, 2012
Last NPPES UpdateDecember 10, 2024
NPPES CertifiedDecember 10, 2024
✔ NPI 1023378957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC006266
156 S BETHLEHEM PIKE, Ambler, PA 19002
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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 (PECOS)

Miss Jennifer L Stout-middlecamp Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709381486
PECOS Enrollment IDI20250924001509
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 Jennifer Stout-middlecamp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Behavioral Care Of Connecticut, P.C.
Same address
Counseling
156 S BETHLEHEM PIKE
Ambler, PA 19002
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Optum Behavioral Care Of Connecticut PC
  • 89 clinicians in this Medicare group
NPI 1710768882 (215) 767-7096

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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON REILLY LPC
Counselor (Professional)
156 S BETHLEHEM PIKE
AMBLER, PA 19002
Montgomery County (215) 767-7096
JULIE ANNETTE RAND M.S.
Counselor (Professional)
156 S BETHLEHEM PIKE
AMBLER, PA 19002
Montgomery County (215) 767-7096
ASHLEY PEARL WALTERS LPC, ATR-BC
Counselor (Professional)
156 S BETHLEHEM PIKE
AMBLER, PA 19002
Montgomery County (215) 834-0871
EMILY J CHAPPEL
Social Worker (Clinical)
156 S BETHLEHEM PIKE
AMBLER, PA 19002
Montgomery County (267) 225-4346
DIANA GEVURTZ MFT
Marriage & Family Therapist
156 S BETHLEHEM PIKE
AMBLER, PA 19002
Montgomery County (215) 767-7096
KANDACE DENARO MA, LPC
Counselor (Professional)
156 S BETHLEHEM PIKE
AMBLER, PA 19002
Montgomery County (215) 767-7096
SAMANTHA DUNNUM LCSW
Social Worker (Clinical)
156 S BETHLEHEM PIKE
AMBLER, PA 19002
Montgomery County (215) 767-7096
SONYA KATHLEEN BUDNOVITCH MA, BC-DMT, NCC, LPC
Counselor (Professional)
156 S BETHLEHEM PIKE
AMBLER, PA 19002
Montgomery County (570) 766-7742

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 Jennifer Stout-middlecamp's NPI number?

The NPI number for Jennifer Stout-middlecamp is 1023378957. It was assigned to this individual provider in the NPPES registry on May 25, 2012.

Where is Jennifer Stout-middlecamp located?

Jennifer Stout-middlecamp practices at 156 S Bethlehem Pike, Ambler, PA 19002. The listed phone number is (267) 405-2321.

What is Jennifer Stout-middlecamp's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Stout-middlecamp enrolled in Medicare?

Yes. Jennifer Stout-middlecamp is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Stout-middlecamp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Stout-middlecamp reassigns Medicare benefits to Optum Behavioral Care Of Connecticut, P.C. (Ambler, PA). 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 Jennifer Stout-middlecamp'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 Jennifer Stout-middlecamp was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.