Michelle S. Lin, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC6247 Issued in CA

Practice address

3017 Telegraph Ave Ste 210
Berkeley, CA 94705-2049

Phone

(510) 926-6677

NPI assigned

Jul 18, 2012

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wise Mind Counseling Services Inc.

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1598300642
  Medicare reassignment NPD

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1629323381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 AGAVE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308372",
            "telephone_number": "949-633-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 TELEGRAPH AVE STE 210",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052049",
            "telephone_number": "510-926-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 San Pedro Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782125006",
            "country_code": "US",
            "telephone_number": "210-697-5700",
            "fax_number": "210-558-4276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "MICHELLE",
        "middle_name": "S.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC6247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lin
• Kevin Ouyi Lin, M.D.
• Lonnie P Lin, MD
• Meng Ching Lin, O.D.
• Michael Lin
• Tiffany Hsiang Lin
• Tin (Tamy) May Lin
• Vania Lin
• Sophia Lindgren
• Kelsey Lindquist, MS, ATC

• Professional Counselor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.