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JASMINE STATEN
NPI 1578062261
Psychologist - Clinical Child & Adolescent in Dayton, OH

Active since February 07, 2018PECOS Enrolled
1010 VALLEY ST, DAYTON, OH 45404(937) 641-3401(937) 641-3046 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2026, Nov 5, 2025, Dec 6, 2023 and 2 more (5 updates tracked since 2020).

About Jasmine Staten NPPES

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

JASMINE STATEN (NPI 1578062261) is an individual clinical child & adolescent provider in Dayton, Ohio, licensed in Ohio (P.08569) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1578062261
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameJASMINE STATEN
Location Address1010 VALLEY STDayton, OH 45404-2070
Mailing AddressPo Box 933421Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129
Phone(937) 641-3401
Fax(937) 641-3046
Sole ProprietorNo
Enumeration DateFebruary 7, 2018
Last NPPES UpdateApril 2, 20265 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1578062261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in OH · P.08569
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1010 VALLEY ST, Dayton, OH 45404
Open in Google Maps ↗

Secondary Practice Locations 8

Location 13333 W Tech Rd Ste 220Miamisburg, OH 45342-0956 · Phone (937) 748-6116 · Fax (937) 291-6956
Location 29000 N Main St Ste 332Englewood, OH 45415-1185 · Phone (937) 832-7337 · Fax (937) 832-4817
Location 31640 N Limestone StSpringfield, OH 45503-2652 · Phone (937) 328-2320 · Fax (937) 328-2349
Location 4204 Patrick AveUrbana, OH 43078-2302 · Phone (937) 484-6157 · Fax (937) 484-6181
Location 51425 N Fairfield Rd Ste 220Beavercreek, OH 45432-2673 · Phone (937) 320-1950 · Fax (937) 320-9332
Location 65501 Far Hills Ave Ste 200Dayton, OH 45429-2203 · Phone (937) 436-2866 · Fax (937) 436-1468
Location 71 Childrens PlzDayton, OH 45404-1815 · Phone (937) 641-3401 · Fax (937) 641-3046
Location 81816 Harvard Blvd Ste 202Dayton, OH 45406-4539 · Phone (937) 641-3401 · Fax (937) 641-3046

Other Identifiers 1

Medicaid0288064OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

Dayton Children's Hospital
0.5 mi
Social Worker
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Hospital
  • 165 clinicians in this Medicare group
NPI 1548045503 (937) 641-4000

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 20

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

DR. SARA FRANCES GUERRERO-DUBY MD
Pediatrics
1010 VALLEY ST
DAYTON, OH 45404
Montgomery County (937) 641-4000
LORI BETH MILLIRON CPNP
Nurse Practitioner (Pediatrics)
1010 VALLEY ST
DAYTON, OH 45404
Montgomery County (937) 641-4000
DR. NORA LABIANO VISH MD
Pediatrics
1010 VALLEY ST
DAYTON, OH 45404
Montgomery County (937) 641-4000
EMILY KAY BOONE CPNP
Nurse Practitioner (Acute Care)
1010 VALLEY ST
DAYTON, OH 45404
Montgomery County (937) 641-4000
MRS. ANGELA MARIE BUTTS PNP
Nurse Practitioner (Pediatrics)
1010 VALLEY ST
DAYTON, OH 45404
Montgomery County (937) 641-4000
JENNIFER MARIE HILGEMAN MD
Pediatrics
1010 VALLEY ST
DAYTON, OH 45404
Montgomery County (937) 641-4000
MRS. RACHAEL E BELL MSW,LISW-S
Social Worker (Clinical)
1010 VALLEY ST
DAYTON, OH 45404
Montgomery County (937) 641-3401
SUZIE C NELSON M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1010 VALLEY ST
DAYTON, OH 45404
Montgomery County (937) 641-4040

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 Jasmine Staten's NPI number?

The NPI number for Jasmine Staten is 1578062261. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Jasmine Staten located?

Jasmine Staten practices at 1010 Valley St, Dayton, OH 45404. The listed phone number is (937) 641-3401.

What is Jasmine Staten's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jasmine Staten enrolled in Medicare?

Yes. Jasmine Staten is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jasmine Staten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Staten reassigns Medicare benefits to Dayton Children's Hospital (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 Jasmine Staten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jasmine Staten accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Jasmine Staten 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 Jasmine Staten was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.