Jamie Lynn Van Zanen, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW61669 Issued in CA

Practice address

46 N 2ND St
Campbell, CA 95008-2026

Phone

(408) 827-8865

NPI assigned

Apr 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 28, 2023 through Dec 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1891282968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 AVENIDA MANZANOS",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231413",
            "telephone_number": "408-827-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N 2ND ST",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082026",
            "telephone_number": "408-827-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ZANEN",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "61669",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW61669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Valenzuela
• Janine Valine, FNP
• Helen Vallaeys
• Marcos Valle-Loya
• Amy Leigh Van Unen, MA
• Alana Beth Van Zanten
• Marlaina B Vance
• Gloria Vang
• Heaven Leah Vargas
• William Frederick Vazquez II

• Mental Health Counselor in Campbell, CA
• Providers in Campbell, 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 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.