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JESSICA LYNNE ROSE KUBAS LCSW
NPI 1629571542
Social Worker - Clinical in Nevada City, CA

Active since March 16, 2018PECOS EnrolledAccepts Medicare Assignment
103 PROVIDENCE MINE RD, STE 104A, NEVADA CITY, CA 95959(530) 402-5613 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 23, 2020, Mar 17, 2018 (2 updates tracked since 2018).

About Jessica Lynne Rose Kubas Lcsw NPPES

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

JESSICA LYNNE ROSE KUBAS LCSW (NPI 1629571542) is an individual clinical provider in Nevada City, California, licensed in California (80502) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Nevada City, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629571542
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA LYNNE ROSE KUBASCredential: LCSW
Location Address103 PROVIDENCE MINE RD, STE 104ANevada City, CA 95959-2949
Mailing AddressPo Box 2615Nevada City, CA 95959 · (530) 402-5613
Phone(530) 402-5613
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 16, 2018
Last NPPES UpdateJune 23, 20202 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1629571542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 80502
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.
103 PROVIDENCE MINE RD, Nevada City, CA 95959
Open in Google Maps ↗

Secondary Practice Location 1

Location 1206 Prodience Mine Rd, Suite 215Nevada City, CA 95959 · Phone (530) 402-5613

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

Jessica Lynne Rose Kubas 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 ID9032458716
PECOS Enrollment IDI20190222002813
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 Reassignments

3

Medicare enrollment records show Jessica Kubas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peach Tree Healthcare
29 mi
Federally Qualified Health Center (FQHC)
4446 OLIVE AVE BLDG P-5
Olivehurst, CA 95961
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
NPI 1104526664 (530) 749-3242
Sud Specialty Group - Ca
138 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Grow Healthcare Group PC
141 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 95959 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 3

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

DR. WILLIAM BRADLEY MILLER MD
Internal Medicine (Hospice and Palliative Medicine)
103 PROVIDENCE MINE RD, SUITE 104 D
NEVADA CITY, CA 95959
Nevada County (530) 478-1536
MRS. WILMA I TERRILL M.S., LMFT
Marriage & Family Therapist
103 PROVIDENCE MINE RD, SUITE 104 A
NEVADA CITY, CA 95959
Nevada County (530) 265-3068
KASHA SARAH KILEY CASI
Counselor (Addiction (Substance Use Disorder))
103 PROVIDENCE MINE RD, SUITE 101
NEVADA CITY, CA 95959
Nevada County (530) 265-2914

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 Jessica Kubas's NPI number?

The NPI number for Jessica Kubas is 1629571542. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Where is Jessica Kubas located?

Jessica Kubas practices at 103 Providence Mine Rd Ste 104A, Nevada City, CA 95959. The listed phone number is (530) 402-5613.

What is Jessica Kubas's specialty?

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

Is Jessica Kubas enrolled in Medicare?

Yes. Jessica Kubas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jessica Kubas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Kubas reassigns Medicare benefits to 3 organizations: Peach Tree Healthcare (Olivehurst, CA), Sud Specialty Group - Ca (Santa Clara, CA) and Grow Healthcare Group PC (San Jose, CA). Each 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 Jessica Kubas'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 Jessica Kubas was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.