Individual provider Active NPI

Jacalyn Jay Schoen, MS LMFT

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1225651482
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
88005 Issued in CA
Practice address
17682 Mitchell N Ste 104
Irvine, CA 92614-6094
Phone
(949) 264-2054
Fax
(949) 955-9033
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 88005 CA Primary

Addresses

Primary practice location

17682 Mitchell N Ste 104
Irvine, CA 92614-6094

Mailing address

1 Thurston Dr
Trabuco Canyon, CA 92679-5129
Phone (949) 264-2054

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jacischoentherapy@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2024 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1225651482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THURSTON DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926795129",
            "telephone_number": "949-264-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17682 MITCHELL N STE 104",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146094",
            "telephone_number": "949-264-2054",
            "fax_number": "949-955-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEN",
        "first_name": "JACALYN",
        "middle_name": "JAY",
        "credential": "MS LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "88005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jacischoentherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "17682 Mitchell N Ste 104",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926146094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.