JENNY DECKER (LICSW) – Mental Health Counselor, NPI 1497281067
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,397 CLINICAL SOCIAL WORKER in WA
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Provider Addresses for JENNY DECKER (LICSW)
4856 INNOVATION DR
FORT COLLINS, CO 805255539
Phone: (970) 494-4200
Fax: (844) 270-1824
Type: Mailing
Astria Sunnyside Hospital, 1016, Tacoma Avenue, Sunnyside, Yakima County, Washington, 98944, United States
SUNNYSIDE, WA 989442263
Phone: (509) 837-1500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180126001789 | I | Clinical Social Worker | ID | TBD |
| I20250218000381 | I | Clinical Social Worker | WY | TBD |
| I20251117001397 | I | Clinical Social Worker | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | ID | |
| Mental Health Counselor | WY | |
| Mental Health Counselor | MT | |
| Clinical Social Worker | WY | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | WY | |
| Clinical Social Worker | WY | |
| Nurse Practitioner | ID | |
| Clinical Social Worker | WY | |
| Clinical Social Worker | ID |
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