MEDICARE: JENNIFER A SCHILLING LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPCC1544	CA

General Provider Information

NPI Number	:	1700942422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER A SCHILLING LPCC

Provider Business Mailing Address
First Line	:	27128A PASEO ESPADA STE 1522
Second Line	:
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-2725
Country	:	US
Telephone Number	:	213-286-1031
Fax Number	:

Provider Business Practice Location Address
First Line	:	27128A PASEO ESPADA STE 1522
Second Line	:
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-2725
Country	:	US
Telephone Number	:	213-286-1031
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/19/2025

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