MRS. JANE ELLEN VAN WAGONER MFT
NPI 1972728657
Marriage & Family Therapist in Fullerton, CA

Q: What is Jane Van Wagoner's NPI number?

The NPI number for Jane Van Wagoner is 1972728657. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Q: What is Jane Van Wagoner'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 Jane Van Wagoner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 April 16, 2007

1370 BREA BLVD STE 120, FULLERTON, CA 92835(714) 738-1733(714) 996-1013 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Jane Ellen Van Wagoner Mft NPPES

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

MRS. JANE ELLEN VAN WAGONER MFT (NPI 1972728657) is an individual marriage & family therapist in Fullerton, California, licensed in California (MR022526) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1972728657

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. JANE ELLEN VAN WAGONERCredential: MFT

Location Address1370 BREA BLVD STE 120Fullerton, CA 92835-4123

Mailing Address1370 Brea Blvd Ste 120Fullerton, CA 92835-4123 · (714) 738-1733 · Fax (714) 996-1013

Phone(714) 738-1733

Fax(714) 996-1013

Sole ProprietorYes

Enumeration DateApril 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1972728657 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 · MR022526

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.

1370 BREA BLVD STE 120, Fullerton, CA 92835

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

DR. KEVIN JOE DC

Chiropractor

1370 BREA BLVD STE 120
FULLERTON, CA 92835

Orange County (714) 328-1733

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 Jane Van Wagoner's NPI number?

The NPI number for Jane Van Wagoner is 1972728657. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Jane Van Wagoner located?

Jane Van Wagoner practices at 1370 Brea Blvd Ste 120, Fullerton, CA 92835. The listed phone number is (714) 738-1733.

What is Jane Van Wagoner's specialty?

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

When was this NPI record last updated?

The NPPES record for Jane Van Wagoner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.