JENNIFER STATEN, LCSW, LLC
NPI 1629669981
Clinic/Center in Sulphur Springs, TX
About Jennifer Staten, Lcsw, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER STATEN, LCSW, LLC (NPI 1629669981) is a healthcare organization registered as a clinic/center in Sulphur Springs, Texas and active in the NPI registry since January 2021. The organization lists Jennifer N Staten, Owner/operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Staten, Lcsw, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer Staten, Lcsw, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Staten, Lcsw, LLC's NPI number?
The NPI number for Jennifer Staten, Lcsw, LLC is 1629669981. It was assigned to this organization in the NPPES registry on January 29, 2021.
Where is Jennifer Staten, Lcsw, LLC located?
Jennifer Staten, Lcsw, LLC is located at 2121 Main St, Sulphur Springs, TX 75482. The listed phone number is (903) 885-2776.
What is Jennifer Staten, Lcsw, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Jennifer Staten, Lcsw, LLC enrolled in Medicare?
Yes. Jennifer Staten, Lcsw, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jennifer Staten, Lcsw, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jennifer Staten, Lcsw, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Staten, Lcsw, LLC was last updated on March 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jennifer Staten, Lcsw, Llc · NPI 1629669981
Clinic/Center organization in Sulphur Springs, Texas. Organization record, active in the CMS NPPES registry since January 29, 2021.
## Identity
- **NPI:** 1629669981 (Entity type: Organization)
- **Enumerated:** January 29, 2021
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Staten, OWNER/OPERATOR
## Practice location
- **Address:** 2121 MAIN ST, Sulphur Springs, TX 75482-3616
- **Phone:** (903) 885-2776
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629669981) · Data from the CMS NPPES public registry.