Organization Active NPI

Gisela Lin Counseling and Consultation Services PLLC

  • Counseling Psychologist
  • Bryan, TX
National Provider Identifier
1407486939
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
GISELA LIN COUNSELING AND CONSULTATION SERVICES PLLC
Practice address
1401 Sandia PLZ
Bryan, TX 77802-4356
Phone
(979) 314-9698
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Dr. Jun-Chih Gisela LinNPI 1720413321
Title
Psychology Owner
Phone
(979) 575-6285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

1401 Sandia PLZ
Bryan, TX 77802-4356

Mailing address

3904 Puffin Way
College Station, TX 77845-6265
Phone (979) 575-6285

Other names 1

  • Gisela Lin Counseling and Consultat Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200421002077 TX Part B Supplier - Clinic/Group Practice 5092145714 Receives reassigned benefits from 1 practitioner
Practice locations: Bryan, TX

National Provider Directory

National Provider Directory

Locations

1401 Sandia Plz
Bryan, TX 77802
Phone (979) 217-1378

1401 Sandia Plz
Ste 1
Bryan, TX 77802
Phone (979) 314-9698

707 Texas Ave S
Ste 208D
College Station, TX 77840
Phone (979) 314-9698

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1407486939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 PUFFIN WAY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456265",
            "telephone_number": "979-575-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SANDIA PLZ",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024356",
            "telephone_number": "979-314-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GISELA LIN COUNSELING AND CONSULTATION SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JUN-CHIH",
        "authorized_official_middle_name": "GISELA",
        "authorized_official_title_or_position": "PSYCHOLOGY OWNER",
        "authorized_official_telephone_number": "979-575-6285",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gisela Lin Counseling and Consultat",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gisela Lin Counseling and Consultat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.