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DR. JAN GARVER BACON PHD
NPI 1457335820
Psychologist - Clinical in Lakewood, WA

Active since November 30, 2005PECOS Enrolled
9125 BRIDGEPORT WAY SW STE 102, LAKEWOOD, WA 98499(253) 254-8284(253) 276-0082 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jan Garver Bacon Phd NPPES

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

DR. JAN GARVER BACON PHD (NPI 1457335820) is an individual clinical provider in Lakewood, Washington, licensed in Washington (PY00001639) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457335820
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAN GARVER BACONCredential: PHD
Location Address9125 BRIDGEPORT WAY SW STE 102Lakewood, WA 98499-2448
Mailing Address9125 Bridgeport Way Sw Ste 102Lakewood, WA 98499-2448 · (253) 254-8284 · Fax (253) 276-0082
Phone(253) 254-8284
Fax(253) 276-0082
Sole ProprietorYes
Enumeration DateNovember 30, 2005
Last NPPES UpdateApril 18, 2018
✔ NPI 1457335820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY00001639
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
9125 BRIDGEPORT WAY SW STE 102, Lakewood, WA 98499
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jan Garver Bacon Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98499 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

GENTRY TURK MA, LMHC, SUDP
Counselor (Mental Health)
9125 BRIDGEPORT WAY SW STE 102
LAKEWOOD, WA 98499
Pierce County (253) 235-3354
SARAH MCKINNEY GAUTHIER
Counselor (Mental Health)
9125 BRIDGEPORT WAY SW STE 102
LAKEWOOD, WA 98499
Pierce County (253) 600-3741
DANIEL ALLAN PRATT PSY.D.
Psychologist (Clinical)
9125 BRIDGEPORT WAY SW STE 102
LAKEWOOD, WA 98499
Pierce County (253) 652-5339
MULHERN COUNSELING, PLLC
Counselor (Mental Health)
9125 BRIDGEPORT WAY SW STE 102
LAKEWOOD, WA 98499
Pierce County (253) 766-4723
MR. JASON KYLE NOBLES LMHCA
Counselor (Mental Health)
9125 BRIDGEPORT WAY SW STE 102
LAKEWOOD, WA 98499
Pierce County (253) 893-4560
MR. THOMAS P MULHERN MA, LMHC
Counselor (Mental Health)
9125 BRIDGEPORT WAY SW STE 102
LAKEWOOD, WA 98499
Pierce County (253) 766-4723
SANDRA GOLLING LMFTA
Marriage & Family Therapist
9125 BRIDGEPORT WAY SW STE 102
LAKEWOOD, WA 98499
Pierce County (253) 312-1896
NATALIE ADELE TENKLEY
Counselor (Mental Health)
9125 BRIDGEPORT WAY SW STE 102
LAKEWOOD, WA 98499
Pierce County (253) 785-3653

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 Jan Bacon's NPI number?

The NPI number for Jan Bacon is 1457335820. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Jan Bacon located?

Jan Bacon practices at 9125 Bridgeport Way SW Ste 102, Lakewood, WA 98499. The listed phone number is (253) 254-8284.

What is Jan Bacon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jan Bacon enrolled in Medicare?

Yes. Jan Bacon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jan Bacon was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.