JON MICHAEL FAXON LCSW
NPI 1023131869
Counselor - Professional in Santa Clara, CA
About Jon Michael Faxon Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JON MICHAEL FAXON LCSW (NPI 1023131869) is an individual professional provider in Santa Clara, California, licensed in California (LCSW CA 24839) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jon Michael Faxon Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jon Faxon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jon Faxon's NPI number?
The NPI number for Jon Faxon is 1023131869. It was assigned to this individual provider in the NPPES registry on April 9, 2007.
Where is Jon Faxon located?
Jon Faxon practices at 3840 Homestead Road Kaiser Permanete -- Behavioral Health Center, Santa Clara, CA 95051. The listed phone number is (408) 569-2604.
What is Jon Faxon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jon Faxon enrolled in Medicare?
Yes. Jon Faxon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jon Faxon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jon Faxon reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Jon Faxon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jon Faxon was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jon Michael Faxon, LCSW · NPI 1023131869
Professional provider in Santa Clara, California. Individual provider, active in the CMS NPPES registry since April 9, 2007.
## Identity
- **NPI:** 1023131869 (Entity type: Individual)
- **Enumerated:** April 9, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LCSW CA 24839 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3840 HOMESTEAD ROAD, KAISER PERMANETE -- BEHAVIORAL HEALTH CENTER, Santa Clara, CA 95051
- **Phone:** (408) 569-2604
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023131869) · Data from the CMS NPPES public registry.