MR. JACKY GUAN
NPI 1487146197
Marriage & Family Therapist in Belmont, CA

Q: What is Jacky Guan's NPI number?

The NPI number for Jacky Guan is 1487146197. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Q: What is Jacky Guan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacky Guan was last updated on January 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 30, 2018PECOS Enrolled

310 HARBOR BLVD BLDG E, BELMONT, CA 94002(510) 815-9748 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 27, 2024, Dec 19, 2024, Dec 27, 2022 and 1 more (4 updates tracked since 2019).

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About Mr. Jacky Guan NPPES

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

MR. JACKY GUAN (NPI 1487146197) is an individual marriage & family therapist in Belmont, California, licensed in California (138984) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487146197

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. JACKY GUAN

Location Address310 HARBOR BLVD BLDG EBelmont, CA 94002-4018

Mailing Address310 Harbor Blvd Bldg EBelmont, CA 94002-4018 · (510) 815-9748

Phone(510) 815-9748

Sole ProprietorYes

Enumeration DateMay 30, 2018

Last NPPES UpdateJanuary 31, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2025

✔ NPI 1487146197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 138984

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

310 HARBOR BLVD BLDG E, Belmont, CA 94002

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jacky Guan 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.

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Other Providers at the Same Location NPPES 16

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

DR. TSUEY-JING FAN PH.D.

Psychologist (Clinical)