DR. JENNIFER FAN PSY.D., LMFT
NPI 1841366804
Marriage & Family Therapist in San Mateo, CA

Q: What is Jennifer Fan's NPI number?

The NPI number for Jennifer Fan is 1841366804. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Jennifer Fan'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 Jennifer Fan was last updated on July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 28, 2006PECOS Enrolled

307 S B ST, SAN MATEO, CA 94401(800) 496-3019 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jennifer Fan Psy.d., Lmft NPPES

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

DR. JENNIFER FAN PSY.D., LMFT (NPI 1841366804) is an individual marriage & family therapist in San Mateo, California, licensed in California (47184) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841366804

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. JENNIFER FANCredential: PSY.D., LMFT

Location Address307 S B STSan Mateo, CA 94401-4053

Mailing Address307 S B StSan Mateo, CA 94401-4053 · (310) 425-3669

Phone(800) 496-3019

Sole ProprietorNo

Enumeration DateNovember 28, 2006

Last NPPES UpdateJuly 8, 2024

NPPES CertifiedJuly 8, 2024

✔ NPI 1841366804 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 · 47184

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.

307 S B ST, San Mateo, CA 94401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Fan Psy.d., Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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