Individual provider Active NPI

Chih-Hsien Lin, LCPC, BC-DMT, EMDR

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1922530641
Registry record updated May 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.011985 Issued in IL
Practice address
1215 W Norwood St
Apt 3
Chicago, IL 60660-2592
Phone
(312) 608-2999
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X BC-DMT-1288 IL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.011985 IL Primary

Addresses

Primary practice location

1215 W Norwood St
Apt 3
Chicago, IL 60660-2592

Mailing address

1215 W Norwood St
Apt 3
Chicago, IL 60660-2592
Phone (312) 608-2999

Other identifiers 1

IdentifierTypeStateIssuer
13987434OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 11, 2024 through Jan 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.011985ILMDProfessional Counselor
BC-DMT-1288ILMDDance Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Embodied Way Psychotherapy PLLC Professional CurrentSince Feb 6, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1922530641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W NORWOOD ST",
            "address_2": "APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602592",
            "telephone_number": "312-608-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W NORWOOD ST",
            "address_2": "APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602592",
            "telephone_number": "312-608-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHIH-HSIEN",
        "credential": "LCPC, BC-DMT, EMDR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "IL",
            "license": "BC-DMT-1288",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13987434",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.