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MS. STACI JEANNETTE JENKINS
NPI 1831567684
Counselor - Mental Health in Vancouver, WA

Active since September 10, 2015PECOS EnrolledAccepts Medicare Assignment
1601 E 4TH PLAIN BLVD, BLDG 17 ST B222, VANCOUVER, WA 98661(360) 397-8484(360) 397-8494 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Staci Jeannette Jenkins NPPES

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

MS. STACI JEANNETTE JENKINS (NPI 1831567684) is an individual mental health provider in Vancouver, Washington and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831567684
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. STACI JEANNETTE JENKINS
Location Address1601 E 4TH PLAIN BLVD, BLDG 17 ST B222Vancouver, WA 98661-3753
Mailing AddressPo Box 1845Vancouver, WA 98668-1845 · (360) 397-8484 · Fax (360) 397-8494
Phone(360) 397-8484
Fax(360) 397-8494
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 10, 2015
✔ NPI 1831567684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1601 E 4TH PLAIN BLVD, Vancouver, WA 98661
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Staci Jeannette Jenkins 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 ID3971010919
PECOS Enrollment IDI20250725001454
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.

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.

LETICIA CUEVAS
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 397-8246
CHARLENE PEDERSON CG
Counselor
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 397-8246
ESMERALDA XOCHITL GARCIA SUDP
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD, BUILDING #17
VANCOUVER, WA 98661
Clark County (360) 397-8246
MS. HAILEY ANNE LESLIE
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MR. TREVOR C MILLER CTRS
Recreation Therapist
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 696-4061
DR. SUZANNE BEVERLEE MILLAR PHARM.D.
Pharmacist (Pharmacotherapy)
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (503) 220-8262
MRS. COURTNEY RENAE RARDIN BA
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MRS. BARBARA JEAN COLLERAN RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484

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 Staci Jenkins's NPI number?

The NPI number for Staci Jenkins is 1831567684. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Where is Staci Jenkins located?

Staci Jenkins practices at 1601 E 4th Plain Blvd Bldg 17 St B222, Vancouver, WA 98661. The listed phone number is (360) 397-8484.

What is Staci Jenkins's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Staci Jenkins enrolled in Medicare?

Yes. Staci Jenkins 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.

What insurance does Staci Jenkins accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Staci Jenkins 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 Staci Jenkins was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.