Jane C Zaldivar

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704016615 Issued in VA

Practice address

4460 Brookfield Corporate Dr Ste H
Chantilly, VA 20151-1671

Phone

(703) 594-9868

NPI assigned

Jan 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1245000678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12481 HAYES CT UNIT 301",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334299",
            "telephone_number": "703-594-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BROOKFIELD CORPORATE DR STE H",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511671",
            "telephone_number": "703-594-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALDIVAR",
        "first_name": "JANE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Yoo, DMD
• Brooke Young
• Denise Young
• Arshia Zafar, RD
• Meer Rabeel Zafar, MBBS
• Carolina Zapata
• Amber Zemko
• Sarah Anne Zgainer
• Amy Zhang, O.D.
• PO Zhao, M.D., PH.D.

• Mental Health Counselor in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.