1. Home
  2. Directory
  3. California
  4. Los Gatos
  5. Counselor
  6. NPI Profile

SHABNAM JESGAR LPC, LPCC
NPI 1124225370
Counselor - Professional in Los Gatos, CA

Active since June 29, 2007Opted out of Medicare · through Jan 1, 2028
812 POLLARD RD STE 6, LOS GATOS, CA 95032(404) 964-4472 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 21, 2020, Jan 28, 2020 (2 updates tracked since 2020).

About Shabnam Jesgar Lpc, Lpcc NPPES

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

SHABNAM JESGAR LPC, LPCC (NPI 1124225370) is an individual professional provider in Los Gatos, California, licensed in California (LPCC2729) and active in the NPI registry since June 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1124225370
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHABNAM JESGARCredential: LPC, LPCC
Location Address812 POLLARD RD STE 6Los Gatos, CA 95032-1420
Mailing Address1608 W Campbell Ave # 243Campbell, CA 95008-1535
Phone(404) 964-4472
Sole ProprietorYes
Enumeration DateJune 29, 2007
Last NPPES UpdateFebruary 21, 20202 updates tracked since enumeration
✔ NPI 1124225370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · LPCC2729✔ Licensed in GA · LPC005292
812 POLLARD RD STE 6, Los Gatos, CA 95032
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shabnam Jesgar Lpc, Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH A DENICOLA PH.D.
Psychologist (Clinical)
812 POLLARD RD STE 6
LOS GATOS, CA 95032
Santa Clara County (408) 370-7333
DR. SEDIGHEH SHUKOFEH DADVAR PH.D
Clinical Ethicist
812 POLLARD RD STE 6, LOS GATOS
LOS GATOS, CA 95032
Santa Clara County (408) 219-0588
ESTHER CHEN, MD, PC
Family Medicine
812 POLLARD RD STE 6
LOS GATOS, CA 95032
Santa Clara County (408) 300-9298

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 Shabnam Jesgar's NPI number?

The NPI number for Shabnam Jesgar is 1124225370. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Shabnam Jesgar located?

Shabnam Jesgar practices at 812 Pollard Rd Ste 6, Los Gatos, CA 95032. The listed phone number is (404) 964-4472.

What is Shabnam Jesgar's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shabnam Jesgar enrolled in Medicare?

No. Shabnam Jesgar has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shabnam Jesgar was last updated on February 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.