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

Active since April 04, 2020PECOS Enrolled
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: July 19, 2026.

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

  • Individual
  • Female
  • Marriage & Family Therapist
  • PECOS Enrolled
  • Opted-Out Medicare

About JACLYN WARREN

This page provides the complete NPI Profile along with additional information for Jaclyn Warren, a provider established in San Jose, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1487283115 assigned on April 2020. The practitioner's primary taxonomy code is 106H00000X with license number 138795 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1487283115 Verify this NPI
Provider Name
JACLYN WARREN LMFT
Gender
Female
Entity Type
Individual
Location Address
3316 MARCEL CT SAN JOSE, CA 95135
Location Phone
(408) 781-9284
Mailing Address
3316 MARCEL CT SAN JOSE, CA 95135
Mailing Phone
(408) 781-9284
Mailing Fax
(408) 274-5532
Is Sole Proprietor?
Yes
Enumeration Date
04-04-2020
Last Update Date
11-17-2023
Code Navigator

A marriage and family therapist like Jaclyn Warren help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jaclyn Warren opted out of Medicare effective on 01-01-2024 until 01-01-2028. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
138795
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Medicare Participation & PECOS Enrollment Status

Jaclyn Warren is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2024

  • Opt-Out End Date: 01-01-2028

  • Eligible to Order and Refer? No

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JACLYN WARREN LMFT

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487283115, enumerated as an "individual" on April 04, 2020.

The provider is located at 3316 MARCEL CT SAN JOSE, CA 95135 and the phone number is (408) 781-9284.

Marriage & Family Therapist with taxonomy code 106H00000X.