Yulian A. Tinoco, MA, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451023201 Issued in MI

Practice address

640 Saint Joseph Ave
Berrien Springs, MI 49103-1603

Phone

(269) 471-5968

NPI assigned

Oct 4, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 3, 2025 through Dec 3, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hinman Counseling Services

  • Mental Health Counselor
  • Berrien Springs, MI
  • NPI 1760999874
  NPD (past)

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1275313488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SAINT JOSEPH AVE",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031603",
            "telephone_number": "269-471-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SAINT JOSEPH AVE",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031603",
            "telephone_number": "269-471-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINOCO",
        "first_name": "YULIAN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MA, LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451023201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly S Tapley, MD
• Sharon Tasi
• Raymond L Tauran
• The Wellviewspring Group PLLC (Judith Fisher, Psy.D.)
• Marvelyn Elfreda Thompson, NP
• Betty W. Ulmanis, LMT, CMMMT, NCTMB
• University Family Dentistry
• University Medical Specialties, PC
• Valerie Annette Van Allen
• Emmanuel Victorin

• Professional Counselor in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.