Active NPI
Lynn Ellen Chazin, MFT
- Mental Health Counselor
- Danville, CA
National Provider Identifier
1679640700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC41201
- Practice address
- 145 E Prospect Ave
Suite 218B
Danville, CA 94526-3868 - Phone
- (925) 217-0020
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC41201 | CA | Primary |
Addresses
Primary practice location
145 E Prospect Ave
Suite 218B
Danville, CA 94526-3868
Mailing address
145 E Prospect Ave
Suite 218B
Danville, CA 94526-3868
Phone (925) 217-0020
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC41201 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1679640700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 E PROSPECT AVE",
"address_2": "SUITE 218B",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945263868",
"telephone_number": "925-217-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E PROSPECT AVE",
"address_2": "SUITE 218B",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945263868",
"telephone_number": "925-217-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAZIN",
"first_name": "LYNN",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC41201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.