Individual provider Active NPI

Yi-Shan Lee, LAC

  • Professional Counselor
  • Oakley, CA
National Provider Identifier
1154645059
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18112 Issued in CA
Practice address
189 Leprino Cir
Oakley, CA 94561-1068
Phone
(951) 691-6537
Fax
(415) 352-5089
NPI assigned
Mar 22, 2010
Last updated
May 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18112 CA Primary
Marriage & Family Therapist 106H00000X 151181 CA
Student in an Organized Health Care Education/Training Program 390200000X
Acupuncturist 171100000X AC12729 CA

Addresses

Primary practice location

189 Leprino Cir
Oakley, CA 94561-1068

Mailing address

189 Leprino Cir
Oakley, CA 94561-1068
Phone (951) 691-6537

Other practice location 1

5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537
Phone (925) 462-1755

Other identifiers 1

IdentifierTypeStateIssuer
5587818740OtherCARCFE RESIDENTIAL ELDERLY ADMINISTRATOR CERTIFICAAAAAAATAION

Other names 1

  • Shu Yu Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18112CAMDProfessional Counselor
151181CAMDMarriage & Family Therapist
AC12729CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1154645059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 LEPRINO CIR",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945611068",
            "telephone_number": "951-691-6537",
            "fax_number": "415-352-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 LEPRINO CIR",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945611068",
            "telephone_number": "951-691-6537",
            "fax_number": "415-352-5089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5925 W Las Positas Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945888537",
            "country_code": "US",
            "telephone_number": "925-462-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "YI-SHAN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18112",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151181",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCFE RESIDENTIAL ELDERLY ADMINISTRATOR CERTIFICAAAAAAATAION",
            "identifier": "5587818740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHU YU",
            "last_name": "LEE",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.