JON MICHAEL FAXON LCSW NPI 1023131869

NPI Information

  • NPI: 1023131869
  • Provider Name: JON MICHAEL FAXON, LCSW
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3840 HOMESTEAD ROAD
    KAISER PERMANETE -- BEHAVIORAL HEALTH CENTER
    SANTA CLARA, CA
    ZIP 95051
  • Phone: (408) 569-2604

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NPI Details

Jon Michael Faxon, LCSW is a professional counselor in Santa Clara, CA. Jon Michael Faxon, LCSW NPI is 1023131869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3840 HOMESTEAD ROAD
KAISER PERMANETE -- BEHAVIORAL HEALTH CENTER
SANTA CLARA, CA
ZIP 95051
Phone: (408) 569-2604

The NPI 1023131869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 1/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLCSW CA 24839CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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