JON ALAN VAN FOSSAN
NPI 1811005432
Marriage & Family Therapist in Redding, CA

Q: What is Jon Van Fossan's NPI number?

The NPI number for Jon Van Fossan is 1811005432. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Jon Van Fossan'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 Jon Van Fossan was last updated on May 13, 2024. 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.

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment

2640 BRESLAUER WAY, REDDING, CA 96001(530) 245-6416 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 13, 2024, Apr 19, 2024 (2 updates tracked since 2024).

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About Jon Alan Van Fossan NPPES

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

JON ALAN VAN FOSSAN (NPI 1811005432) is an individual marriage & family therapist in Redding, California, licensed in California (MFC 43861) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1811005432

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJON ALAN VAN FOSSAN

Location Address2640 BRESLAUER WAYRedding, CA 96001-4246

Mailing Address18389 Utility AveAnderson, CA 96007-8423 · (530) 241-0337

Phone(530) 245-6416

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 25, 2006

Last NPPES UpdateMay 13, 20242 updates tracked since enumeration

NPPES CertifiedMay 13, 2024

✔ NPI 1811005432 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 · MFC 43861

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.

2640 BRESLAUER WAY, Redding, CA 96001

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Other Identifiers 1

Other106H00000XCA · Mft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jon Alan Van Fossan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466893979

PECOS Enrollment IDI20240515002660

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.

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.

DALE L BURLINGAME

Case Manager/Care Coordinator