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JACLYN WARREN LMFT
NPI 1487283115
Marriage & Family Therapist in San Jose, CA

Active since April 04, 2020Opted out of Medicare · through Jan 1, 2028
3316 MARCEL CT, SAN JOSE, CA 95135(408) 781-9284 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2023, Apr 4, 2020 (2 updates tracked since 2020).

About Jaclyn Warren Lmft NPPES

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

JACLYN WARREN LMFT (NPI 1487283115) is an individual marriage & family therapist in San Jose, California, licensed in California (138795) and active in the NPI registry since April 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1487283115
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACLYN WARRENCredential: LMFT
Location Address3316 MARCEL CTSan Jose, CA 95135-1158
Mailing Address3316 Marcel CtSan Jose, CA 95135-1158 · (408) 781-9284 · Fax (408) 274-5532
Phone(408) 781-9284
Sole ProprietorYes
Enumeration DateApril 4, 2020
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1487283115 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 · 138795
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.
3316 MARCEL CT, San Jose, CA 95135
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jaclyn Warren Lmft 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.

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 Jaclyn Warren's NPI number?

The NPI number for Jaclyn Warren is 1487283115. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Where is Jaclyn Warren located?

Jaclyn Warren practices at 3316 Marcel Ct, San Jose, CA 95135. The listed phone number is (408) 781-9284.

What is Jaclyn Warren's specialty?

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

Is Jaclyn Warren enrolled in Medicare?

No. Jaclyn Warren 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 Jaclyn Warren was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.