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JESSICA P LAN
NPI 1669015194
Marriage & Family Therapist in Commerce, CA

Active since October 28, 2019Opted out of Medicare · through Nov 6, 2026
5400 E OLYMPIC BLVD FL 1, COMMERCE, CA 90022(323) 869-9255 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2021, Oct 28, 2019 (2 updates tracked since 2019).

About Jessica P Lan NPPES

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

JESSICA P LAN (NPI 1669015194) is an individual marriage & family therapist in Commerce, California, licensed in California (114853) and active in the NPI registry since October 2019. She has opted out of Medicare through November 6, 2026.

NPPES Registry Identity

NPI1669015194
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJESSICA P LAN
Location Address5400 E OLYMPIC BLVD FL 1Commerce, CA 90022-5147
Mailing Address815 Colorado Blvd Ste 300Los Angeles, CA 90041-1744 · (323) 543-2800 · Fax (323) 978-1263
Phone(323) 869-9255
Sole ProprietorNo
Enumeration DateOctober 28, 2019
Last NPPES UpdateMay 28, 20212 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1669015194 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 · 114853
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.
5400 E OLYMPIC BLVD FL 1, Commerce, CA 90022
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica P Lan 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 November 6, 2024 through November 6, 2026.

Opt-Out Effective DateNovember 6, 2024
Opt-Out In Effect ThroughNovember 6, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

MR. ALBERTO VALENZUELA
Marriage & Family Therapist
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
NANCY CAROLINA VASQUEZ VENTURA BA
Rehabilitation Practitioner
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
LIADAN ISABELLA SOLOMON
Social Worker (Clinical)
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
VIANETTE URIOSTEGUI
Rehabilitation Practitioner
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
APRIL MICHELLE ZAVALZA
Social Worker (Clinical)
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
KENIA GARCIA
Marriage & Family Therapist
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
JANE JACOB
Social Worker (Clinical)
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255
MRS. JULIET LARDIZABAL JOHNSON LMFT
Marriage & Family Therapist
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022
Los Angeles County (323) 869-9255

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 Jessica Lan's NPI number?

The NPI number for Jessica Lan is 1669015194. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Jessica Lan located?

Jessica Lan practices at 5400 E Olympic Blvd Fl 1, Commerce, CA 90022. The listed phone number is (323) 869-9255.

What is Jessica Lan's specialty?

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

Is Jessica Lan enrolled in Medicare?

No. Jessica Lan has opted out of Medicare through November 6, 2026. 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 Jessica Lan was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.