Jenny T Pan, MFT TRAINEE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

14375 Saratoga Ave Ste 206
Saratoga, CA 95070-5989

Phone

(408) 603-8988

NPI assigned

Oct 30, 2023

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

Other names 1

• Jenny T Yin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1467224790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22459 STARLING DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940247461",
            "telephone_number": "408-603-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14375 SARATOGA AVE STE 206",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705989",
            "telephone_number": "408-603-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "JENNY",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "MFT TRAINEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "YIN",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Somaia Osman
• Our Lady of Fatima Villa
• Heather Charity Owens, DDS
• Ajay Pala
• Lynnea Palazzolo
• Jennifer Patane, M.A.
• Sepideh Pejham, D.D.S.
• Laura T Phan, MD
• Melissa Renee Pifer
• Beverly Platzker, PT

• Mental Health Counselor in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.