JENNA STAUB LCSW-A, LCAS-A
NPI 1629673835
Counselor - Addiction (Substance Use Disorder) in Wilmington, NC

Active since December 03, 2020PECOS EnrolledAccepts Medicare Assignment
503 COVIL AVE STE 102, WILMINGTON, NC 28403(910) 995-4154 Get Directions Write a Review

NPPES record last updated: April 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2024, Dec 3, 2020 (2 updates tracked since 2020).

About Jenna Staub Lcsw-a, Lcas-a NPPES

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

JENNA STAUB LCSW-A, LCAS-A (NPI 1629673835) is an individual addiction (substance use disorder) provider in Wilmington, North Carolina, licensed in North Carolina (29080) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Raleigh, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629673835
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNA STAUBCredential: LCSW-A, LCAS-A
Location Address503 COVIL AVE STE 102Wilmington, NC 28403-2683
Mailing Address421 Fayetteville St Ste 1100Raleigh, NC 27601-3000 · (877) 418-2978 · Fax (866) 500-2186
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 3, 2020
Last NPPES UpdateApril 13, 20242 updates tracked since enumeration
NPPES CertifiedApril 13, 2024
✔ NPI 1629673835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 29080
Also ListedBehavior TechnicianTaxonomy 106S00000X
503 COVIL AVE STE 102, Wilmington, NC 28403

Secondary Practice Location 1

Location 1421 Fayetteville St Ste 1100Raleigh, NC 27601-3000 · Phone (877) 418-2978 · Fax (866) 500-2186

Accepted Insurance

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

Jenna Staub Lcsw-a, Lcas-a 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 ID2365919024
PECOS Enrollment IDI20260430000756
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

2

Medicare enrollment records show Jenna Staub reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
1920 S 16TH ST
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 173 clinicians in this Medicare group
Community/Behavioral Health
1928 S 16TH ST
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 90 clinicians in this Medicare group

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.

Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
Counselor (Mental Health)
503 COVIL AVE STE 102
WILMINGTON, NC 28403
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403

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 Jenna Staub's NPI number?

The NPI number for Jenna Staub is 1629673835. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Jenna Staub located?

Jenna Staub practices at 503 Covil Ave Ste 102, Wilmington, NC 28403. The listed phone number is (910) 995-4154.

What is Jenna Staub's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jenna Staub enrolled in Medicare?

Yes. Jenna Staub 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 Jenna Staub's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Staub reassigns Medicare benefits to 2 organizations: Rha Health Services, Inc (Wilmington, NC) and Rha Behavioral Health Nc LLC (Wilmington, NC). 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 Jenna Staub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenna Staub accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Jenna Staub 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 Jenna Staub was last updated on April 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.