MICHELLE S. LIN (NPI# 1629323381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629323381 |
| Entity Type | Individual |
| Full Name | MICHELLE S. LIN |
| Credential | LPCC |
| Practice Address |
3017 Telegraph Ave Ste 210 Berkeley CA 94705-2049 |
| Mailing Address |
18 Agave Lake Forest CA 92630-8372 |
| Practice Telephone | 5109266677 |
| Mailing Telephone | 9496333159 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPCC6247 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 San Pedro Ave, San Antonio, TX 782125006 | 2106975700 | 2105584276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043668015 | Michelle I-hung Lin | Family Medicine | 2865 Siena Heights Dr Ste 140, Henderson, NV 89052-4168 | 2016-05-31 |
| 1851471635 | Michelle I-hsuan Lin | Dentist | 15914 Flowercroft Ct, Cypress, TX 77429-4960 | 2006-10-16 |
| 1689133514 | Michelle Lin | Student in an Organized Health Care Education/Training Program | 1200 N State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2019-03-19 |
| 1144718297 | Michelle S Lin | Student in an Organized Health Care Education/Training Program | 6550 Fannin St Ste Sm383, Houston, TX 77030-2717 | 2018-04-24 |
| 1518487586 | Michelle Lin | Student in an Organized Health Care Education/Training Program | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2017-06-21 |
| 1881126738 | Michelle Lin | Pediatrics | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2017-03-30 |
| 1356886642 | Michelle Lin | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2016-12-22 |
| 1477095990 | Michelle Lin | Pharmacist | 6688 Alhambra Ave, Martinez, CA 94553-6105 | 2016-11-15 |
| 1497122204 | Michelle Lin | Nurse Anesthetist, Certified Registered | 259 1st St, Mineola, NY 11501-3957 | 2015-08-27 |
| 1568738383 | Michelle Pei-yu Lin | Psychiatry & Neurology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2012-03-26 |
| Street Address |
3017 TELEGRAPH AVE STE 210 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881858868 | Jon Michael Lazaleta Duey | Counselor | 3017 Telegraph Ave Ste 210, Berkeley, CA 94705-2049 | 2008-07-18 |
| 1588214316 | Maria Therese Patric R Tanchanco | Marriage & Family Therapist | 3017 Telegraph Ave Ste 210, Berkeley, CA 94705-2049 | 2019-09-13 |
| 1194291047 | Tiffany Pippen | Social Worker | 3017 Telegraph Ave Ste 210, Berkeley, CA 94705-2049 | 2018-10-18 |
| 1902390537 | Foresight Mental Health | Psychiatry & Neurology | 3017 Telegraph Ave Ste 210, Berkeley, CA 94705-2049 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796978 | Geri Ann Delarosa | Counselor | 1521a Shattuck Ave, Berkeley, CA 94709-1516 | 2020-10-01 |
| 1003318296 | Olivia Fadul | Counselor | 14 Alvarado Pl, Berkeley, CA 94705-1507 | 2018-03-02 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1588978688 | St. Louis County Government | Counselor | 4201 Mckibbon Rd, Berkeley, MO 63134-3217 | 2010-07-30 |
| 1023209004 | Aaron R Testard I | Counselor | 2006 Dwight Way Ste 103, Berkeley, CA 94704-2633 | 2007-08-06 |
| 1457568156 | Merrie Sennett | Counselor | 1442a Walnut St # 194, Berkeley, CA 94709-1405 | 2007-05-16 |
| 1326194911 | John Anthony Dedomenico | Counselor | 2020 Blake St, Berkeley, CA 94704 | 2007-01-26 |
| 1417577586 | Crystal Haviland | Counselor | 3001 Dana St, Berkeley, CA 94705-2041 | 2020-04-19 |
| 1265945844 | Open Spectrum Behavior Therapy | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2017-11-06 |
| 1538559166 | Justin Surachai Tanyavutti | Counselor | 1918 Bonita Ave, Berkeley, CA 94704 | 2015-02-03 |
| Find all providers in BERKELEY | ||||
Please comment or provide details below to improve the information on MICHELLE S. LIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.