WAI SI CHAN LMFT
NPI 1619342904
Marriage & Family Therapist in San Jose, CA

Q: What is Wai Si Chan's NPI number?

The NPI number for Wai Si Chan is 1619342904. It was assigned to this individual provider in the NPPES registry on December 11, 2015. The provider is also known as Rebecca Chan M.A..

Q: What is Wai Si Chan's specialty?

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

Q: Is Wai Si Chan enrolled in Medicare?

No. Wai Si Chan has opted out of Medicare through July 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Wai Si Chan was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 11, 2015Opted out of Medicare · through Jul 15, 2028

3880 S BASCOM AVE STE 115, SAN JOSE, CA 95124(408) 351-1044 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 3, 2016, Dec 11, 2015 (2 updates tracked since 2015).

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About Wai Si Chan Lmft NPPES

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

WAI SI CHAN LMFT (NPI 1619342904) is an individual marriage & family therapist in San Jose, California, licensed in California (LMFT 84700) and active in the NPI registry since December 2015. She has opted out of Medicare through July 15, 2028.

NPPES Registry Identity

NPI1619342904

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameWAI SI CHANCredential: LMFT

Location Address3880 S BASCOM AVE STE 115San Jose, CA 95124-2600

Mailing Address3880 S Bascom Ave Ste 115San Jose, CA 95124-2600 · (408) 351-1044

Phone(408) 351-1044

Sole ProprietorYes

Enumeration DateDecember 11, 2015

Last NPPES UpdateJune 30, 20222 updates tracked since enumeration

NPPES CertifiedJune 30, 2022

✔ NPI 1619342904 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 · LMFT 84700

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.

3880 S BASCOM AVE STE 115, San Jose, CA 95124

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Other Names 1

Other Name (5)Rebecca Chan M.a.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Wai Si Chan 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 July 15, 2024 through July 15, 2028.

Opt-Out Effective DateJuly 15, 2024

Opt-Out In Effect ThroughJuly 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

CHILD & FAMILY COUNSELING GROUP

Marriage & Family Therapist