JESSICA MARIE GRUBER, LPA, LCAS — NPI 1184194664 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1184194664

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103T00000X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist

Box 32 Service Location & ZIP+4

3770 SKYLAND DR, SYLVA, NC, 28779-8360

✓ 9-Digit EDI 837 ZIP+4 (28779-8360)

Practice Phone & Referral Fax

(828) 399-1399

Fax: (828) 475-0400

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184194664 (JESSICA MARIE GRUBER, LPA, LCAS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1184194664` (NPI-1 Individual Practitioner)
Provider / Legal Name	JESSICA MARIE GRUBER, LPA, LCAS
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist NUCC Code: `103T00000X` (Psychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3770 SKYLAND DR, SYLVA, NC, 28779-8360
Practice Telephone / Fax	Tel: (828) 399-1399 \| Fax: (828) 475-0400
Administrative Mailing Address	PO BOX 865, CULLOWHEE, NC, 28723-0865
Enumeration & Last Sync	Enumerated: 2018-11-28 \| CMS Record Updated: 2025-11-29

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3770 SKYLAND DR, SYLVA, NC, 28779-8360

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Plain-English Taxonomy & CMS Crosswalk (103T00000X)

What Does Taxonomy Code 103T00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JESSICA MARIE GRUBER, LPA, LCAS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YA0400X` — Counselor, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)	State: NC \| License: `24589` \| Primary: Secondary
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: NC \| License: `5624` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JESSICA MARIE GRUBER, LPA, LCAS (NPI #1184194664)