MRS. JENNIFER L ROBERTSON LCSW
NPI 1558884692
Social Worker - Clinical in Colorado Springs, CO

Q: What is Jennifer Robertson's NPI number?

The NPI number for Jennifer Robertson is 1558884692. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Q: What is Jennifer Robertson's specialty?

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

Active since July 20, 2017PECOS EnrolledAccepts Medicare Assignment

1795 JET WING DR, COLORADO SPRINGS, CO 80916(719) 572-6100 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, May 12, 2022, Jun 21, 2019 and 1 more (4 updates tracked since 2017).

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About Mrs. Jennifer L Robertson Lcsw NPPES

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

MRS. JENNIFER L ROBERTSON LCSW (NPI 1558884692) is an individual clinical provider in Colorado Springs, Colorado, licensed in Idaho (LCSW-39561) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1558884692

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. JENNIFER L ROBERTSONCredential: LCSW

Location Address1795 JET WING DRColorado Springs, CO 80916-2332

Mailing Address90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062 · (208) 828-7623

Phone(719) 572-6100

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 20, 2017

Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1558884692 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

Licenses✔ Licensed in ID · LCSW-39561✔ Licensed in OK · 7177

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 ListedSocial WorkerTaxonomy 104100000X · License 17052 (ZZ)

1795 JET WING DR, Colorado Springs, CO 80916

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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 and accepts Medicare assignment

Mrs. Jennifer L Robertson 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 ID3678057809

PECOS Enrollment IDI20260325001722

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 Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diversus Health Inc

Same address

Rehabilitation, Substance Use Disorder

1795 JET WING DR
Colorado Springs, CO 80916

Reassigned Medicare billing, Colorado enrollment
72 clinicians in this Medicare group

NPI 1528603008 (719) 572-6100

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 80916 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 $58.06 – $174.82

Typical copayment $0.00 (range $14.51 – $43.70)

Most-billed visit code NA

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

JUSTIN M BILLOT LPC

Counselor (Professional)