JACLYN E PENNY
NPI 1932610748
Counselor in Dayton, OH

Active since October 19, 2017PECOS EnrolledAccepts Medicare Assignment
601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH, INC., DAYTON, OH 45417(937) 746-1154 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 20, 2024, Nov 9, 2017, Oct 19, 2017 (3 updates tracked since 2017).

About Jaclyn E Penny NPPES

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

JACLYN E PENNY (NPI 1932610748) is an individual counselor in Dayton, Ohio and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1932610748
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACLYN E PENNY
Location Address601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH, INC.Dayton, OH 45417-3424
Mailing Address601 S Edwin C Moses Blvd, 4th Floor Nw Bldg, Samaritan Behavioral Health IncDayton, OH 45417-3424 · (937) 734-8333 · Fax (937) 734-4343
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 19, 2017
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1932610748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
601 S EDWIN C MOSES BLVD, Dayton, OH 45417

Secondary Practice Location 1

Location 1601 S Edwin C Moses BlvdDayton, OH 45417-3424 · Phone (937) 734-8333

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

Jaclyn E Penny 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 ID4880046036
PECOS Enrollment IDI20240123004366
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 Jaclyn Penny reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
601 S EDWIN C MOSES BLVD, FIRST FLOOR, NW BUILDING
Dayton, OH 45417
  • Reassigned Medicare billing, Ohio enrollment
  • 100 clinicians in this Medicare group
Surgery
3130 N COUNTY ROAD 25-A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 154 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.

Counselor (Mental Health)
601 S EDWIN C MOSES BLVD, 4TH FLOOR, NW BLDG.
DAYTON, OH 45417
Counselor (Mental Health)
601 S EDWIN C MOSES BLVD, 4TH FLOOR NW BUILDING
DAYTON, OH 45417
Registered Nurse
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor (Mental Health)
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor (Addiction (Substance Use Disorder))
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417
Social Worker
601 S EDWIN C MOSES BLVD, 1ST FLOOR, NW BLDG
DAYTON, OH 45417
Registered Nurse
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417

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 Jaclyn Penny's NPI number?

The NPI number for Jaclyn Penny is 1932610748. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Jaclyn Penny located?

Jaclyn Penny practices at 601 S Edwin C Moses Blvd Samaritan Behavioral Health, Inc., Dayton, OH 45417. The listed phone number is (937) 746-1154.

What is Jaclyn Penny's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jaclyn Penny enrolled in Medicare?

Yes. Jaclyn Penny 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 Jaclyn Penny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Penny reassigns Medicare benefits to 2 organizations: Samaritan Behavioral Health, Inc. (Dayton, OH) and Uvpc Specialists Inc. (Troy, OH). 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 Jaclyn Penny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Penny accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 4 other insurers list Jaclyn Penny 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 Jaclyn Penny was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.