Active NPI
Cynthia Shan Lin
- Mental Health Counselor
- Campbell, CA
National Provider Identifier
1992268718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 910 E Hamilton Ave Ste 110
Campbell, CA 95008-0612 - Phone
- (408) 351-0382
- NPI assigned
- Apr 9, 2019
- 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 | Primary |
Addresses
Primary practice location
910 E Hamilton Ave Ste 110
Campbell, CA 95008-0612
Mailing address
42660 Philadelphia PL
Fremont, CA 94538-5531
Phone (408) 688-4998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Other | CA | N/A |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1992268718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42660 PHILADELPHIA PL",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385531",
"telephone_number": "408-688-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E HAMILTON AVE STE 110",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080612",
"telephone_number": "408-351-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "CYNTHIA",
"middle_name": "SHAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "000000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.