JENNIFER FANG
NPI 1164910980
Counselor - Mental Health in San Jose, CA

The NPI number for Jennifer Fang is 1164910980. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Jennifer Fang was last updated on February 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2018

6203 SAN IGNACIO AVE STE 150, SAN JOSE, CA 95119(408) 284-9080 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 23, 2021, Apr 26, 2018 (2 updates tracked since 2018).

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About Jennifer Fang NPPES

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

JENNIFER FANG (NPI 1164910980) is an individual mental health provider in San Jose, California and active in the NPI registry since April 2018.

NPI1164910980

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER FANG

Location Address6203 SAN IGNACIO AVE STE 150San Jose, CA 95119-1371

Mailing Address6203 San Ignacio Ave Ste 150San Jose, CA 95119-1371 · (408) 284-9080

Sole ProprietorNo

Enumeration DateApril 26, 2018

Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2021

✔ NPI 1164910980 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

6203 SAN IGNACIO AVE STE 150, San Jose, CA 95119

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

Counselor (Mental Health)