Jennifer B Staehly Lcsw LLC
NPI 1710453220 · Community/Behavioral Health Agency · Colchester, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer B Staehly Lcsw LLC is a Community/Behavioral Health Agency organization in Colchester, CT (NPI 1710453220).
Provider details
- NPI number
- 1710453220
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jennifer Staehly, Therapist(860) 575-9891
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-23
- Last updated
- 2018-10-23
Frequently asked questions
- What is Jennifer B Staehly Lcsw LLC's NPI number?
- Jennifer B Staehly Lcsw LLC's National Provider Identifier (NPI) is 1710453220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jennifer B Staehly Lcsw LLC?
- Jennifer B Staehly Lcsw LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Jennifer B Staehly Lcsw LLC located?
- Jennifer B Staehly Lcsw LLC's practice location on file with NPPES is 276 S Main St, Colchester, CT 06415-2952.
- What is Jennifer B Staehly Lcsw LLC's phone number?
- The practice phone number listed in the NPPES registry for Jennifer B Staehly Lcsw LLC is (860) 575-9891.
- Does Jennifer B Staehly Lcsw LLC accept Medicare?
- Jennifer B Staehly Lcsw LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jennifer B Staehly Lcsw LLC?
- The authorized official listed on Jennifer B Staehly Lcsw LLC's NPPES record is Jennifer Staehly, Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jennifer B Staehly Lcsw LLC's NPI active?
- Yes — Jennifer B Staehly Lcsw LLC's NPI (1710453220) is active in the NPPES registry as of the last update on 2018-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.