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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Other Identifiers 1

Other106H00000XCA · Mft

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jon Van Fossan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Shasta
Same address
Mental Health (Including Community Mental Health Center)
2640 BRESLAUER WAY
Redding, CA 96001
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1881692390 (530) 225-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
RACHELLE ELIZABETH LATTER
Case Manager/Care Coordinator
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
MR. OMAR TEJADA
Clinic/Center (Mental Health (Including Community Mental Health Center))
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5252
ROBIN NELSON
Counselor (Addiction (Substance Use Disorder))
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5900
CAREN LYNN WILDS LCSW
Social Worker (Clinical)
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5973
EDWARD PLAZA
Interpreter
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
KEISHA LYNN PARRICK
Day Training/Habilitation Specialist
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5200
MICKIE LUBIC
Case Manager/Care Coordinator
2640 BRESLAUER WAY
REDDING, CA 96001
Shasta County (530) 225-5900

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 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.

Where is Jon Van Fossan located?

Jon Van Fossan practices at 2640 Breslauer Way, Redding, CA 96001. The listed phone number is (530) 245-6416.

What is Jon Van Fossan's specialty?

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

Is Jon Van Fossan enrolled in Medicare?

Yes. Jon Van Fossan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jon Van Fossan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Van Fossan reassigns Medicare benefits to County Of Shasta (Redding, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Van Fossan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.