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JOLENE HUACUJA
NPI 1245808351
Social Worker - Clinical in Dayton, OH

Active since June 15, 2021PECOS Enrolled
7695 POE AVE, DAYTON, OH 45414(937) 280-2000 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jolene Huacuja NPPES

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

JOLENE HUACUJA (NPI 1245808351) is an individual clinical provider in Dayton, Ohio and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245808351
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJOLENE HUACUJA
Location Address7695 POE AVEDayton, OH 45414-2552
Mailing Address7695 Poe AveDayton, OH 45414-2552 · (937) 280-2000
Phone(937) 280-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 15, 2021
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1245808351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
7695 POE AVE, Dayton, OH 45414
Open in Google Maps ↗

Other Identifiers 1

Medicaid2910854OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jolene Huacuja is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42777955
PECOS Enrollment IDI20260811003011
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 Jolene Huacuja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samaritan Behavioral Health, Inc.
7.7 mi
Clinic/Center
601 S EDWIN C MOSES BLVD, FIRST FLOOR, NW BUILDING
Dayton, OH 45417
  • Reassigned Medicare billing, Ohio enrollment
  • 100 clinicians in this Medicare group
NPI 1205888641 (937) 224-1694

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 45414 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

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

DOUGLAS GRAY
Case Manager/Care Coordinator
7695 POE AVE
DAYTON, OH 45414
Montgomery County (937) 280-2000
OKERETA MILLS
Case Manager/Care Coordinator
7695 POE AVE
DAYTON, OH 45414
Montgomery County (614) 339-1649
SHAWNUMECA LEE
Licensed Practical Nurse
7695 POE AVE
DAYTON, OH 45414
Montgomery County (614) 339-0806
SARA ASHLEY
Case Manager/Care Coordinator
7695 POE AVE
DAYTON, OH 45414
Montgomery County (937) 280-2000
TENYETTA OLINGER
Case Manager/Care Coordinator
7695 POE AVE
DAYTON, OH 45414
Montgomery County (614) 339-1649
ELIZABETH SCHMELLENKAMP
Case Manager/Care Coordinator
7695 POE AVE
DAYTON, OH 45414
Montgomery County (937) 280-2000
GISELE TERRELL PH.D
Social Worker
7695 POE AVE
DAYTON, OH 45414
Montgomery County (855) 289-1722
DERRICK BALLARD
Case Manager/Care Coordinator
7695 POE AVE
DAYTON, OH 45414
Montgomery County (614) 339-1649

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 Jolene Huacuja's NPI number?

The NPI number for Jolene Huacuja is 1245808351. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Jolene Huacuja located?

Jolene Huacuja practices at 7695 Poe Ave, Dayton, OH 45414. The listed phone number is (937) 280-2000.

What is Jolene Huacuja's specialty?

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

Is Jolene Huacuja enrolled in Medicare?

Yes. Jolene Huacuja is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jolene Huacuja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jolene Huacuja reassigns Medicare benefits to Samaritan Behavioral Health, Inc. (Dayton, OH). 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 Jolene Huacuja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jolene Huacuja accept?

Health plans from CareSource list Jolene Huacuja 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 Jolene Huacuja was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.