Individual provider Active NPI

Jennifer Torres Duran, LPCC

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1588011365
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC11146 Issued in CA
Practice address
817 N 10TH St Apt 120
San Jose, CA 95112-2972
Phone
(915) 637-0098
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC11146 CA
Mental Health Counselor 101YM0800X LPC11146 CA Primary

Addresses

Primary practice location

817 N 10TH St Apt 120
San Jose, CA 95112-2972

Mailing address

2211 Post St Ste 300
San Francisco, CA 94115-3442
Phone (669) 288-1417

Other identifiers 1

IdentifierTypeStateIssuer
06537715MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902004076 CA Practitioner - Mental Health Counselor 1456852250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2211 Post St
Suite 300
San Francisco, CA 94115-3442

817 N 10TH St Apt
Suite 120
San Jose, CA 95112-2972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC11146CAMDMental Health Counselor
LPCC11146CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tys Professional Clinical Counseling & Therapy, PC Mental Health CurrentSince Jun 14, 2025 Accepting new patients

Locations

2211 Post St
Ste 300
San Francisco, CA 94115
Phone (415) 483-9223

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1588011365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 POST ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153442",
            "telephone_number": "669-288-1417",
            "fax_number": "650-705-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 N 10TH ST APT 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122972",
            "telephone_number": "915-637-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES DURAN",
        "first_name": "JENNIFER",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC11146",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPC11146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06537715",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.