MR. YULIAN A. TINOCO MA, LLC
NPI 1275313488
Counselor - Professional in Berrien Springs, MI

Active since October 04, 2023Opted out of Medicare · through Dec 3, 2027
640 SAINT JOSEPH AVE, BERRIEN SPRINGS, MI 49103(269) 471-5968 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Yulian A. Tinoco Ma, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. YULIAN A. TINOCO MA, LLC (NPI 1275313488) is an individual professional provider in Berrien Springs, Michigan, licensed in Michigan (6451023201) and active in the NPI registry since October 2023. He has opted out of Medicare through December 3, 2027.

NPPES Registry Identity

NPI1275313488
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. YULIAN A. TINOCOCredential: MA, LLC
Location Address640 SAINT JOSEPH AVEBerrien Springs, MI 49103-1603
Mailing Address640 Saint Joseph AveBerrien Springs, MI 49103-1603 · (269) 471-5968
Sole ProprietorYes
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
NPI 1275313488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6451023201
640 SAINT JOSEPH AVE, Berrien Springs, MI 49103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Yulian A. Tinoco Ma, Llc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 3, 2025 through December 3, 2027.

Opt-Out Effective DateDecember 3, 2025
Opt-Out In Effect ThroughDecember 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
640 SAINT JOSEPH AVE
BERRIEN SPRINGS, MI 49103
Counselor (Professional)
640 SAINT JOSEPH AVE
BERRIEN SPRINGS, MI 49103
Counselor
640 SAINT JOSEPH AVE
BERRIEN SPRINGS, MI 49103
Counselor (Mental Health)
640 SAINT JOSEPH AVE
BERRIEN SPRINGS, MI 49103
Counselor (Mental Health)
640 SAINT JOSEPH AVE
BERRIEN SPRINGS, MI 49103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yulian Tinoco's NPI number?

The NPI number for Yulian Tinoco is 1275313488. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Yulian Tinoco located?

Yulian Tinoco practices at 640 Saint Joseph Ave, Berrien Springs, MI 49103. The listed phone number is (269) 471-5968.

What is Yulian Tinoco's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Yulian Tinoco enrolled in Medicare?

No. Yulian Tinoco has opted out of Medicare through December 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Yulian Tinoco was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.