JENNIFER B STAEHLY LCSW LLC
NPI 1710453220
Community/Behavioral Health in Colchester, CT
About Jennifer B Staehly Lcsw Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER B STAEHLY LCSW LLC (NPI 1710453220) is a healthcare organization registered as a community/behavioral health in Colchester, Connecticut and active in the NPI registry since October 2018. The organization lists Jennifer B Staehly, Therapist, 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 B Staehly 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 B Staehly 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 B Staehly Lcsw LLC's NPI number?
The NPI number for Jennifer B Staehly Lcsw LLC is 1710453220. It was assigned to this organization in the NPPES registry on October 23, 2018.
Where is Jennifer B Staehly Lcsw LLC located?
Jennifer B Staehly Lcsw LLC is located at 276 S Main St, Colchester, CT 06415. The listed phone number is (860) 575-9891.
What is Jennifer B Staehly Lcsw LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Jennifer B Staehly Lcsw LLC enrolled in Medicare?
Yes. Jennifer B Staehly Lcsw LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jennifer B Staehly Lcsw LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jennifer B Staehly 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 B Staehly Lcsw LLC was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 B Staehly Lcsw Llc · NPI 1710453220
Community/Behavioral Health organization in Colchester, Connecticut. Organization record, active in the CMS NPPES registry since October 23, 2018.
## Identity
- **NPI:** 1710453220 (Entity type: Organization)
- **Enumerated:** October 23, 2018
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Staehly, THERAPIST
## Practice location
- **Address:** 276 S MAIN ST, Colchester, CT 06415-2952
- **Phone:** (860) 575-9891
## 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:** October 23, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1710453220) · Data from the CMS NPPES public registry.