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JUSTIN SURACHAI TANYAVUTTI LPCC
NPI 1538559166
Counselor - Professional in Berkeley, CA

Active since February 03, 2015
1918 BONITA AVE, BERKELEY, CA 94704(703) 261-9973 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Surachai Tanyavutti Lpcc NPPES

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

JUSTIN SURACHAI TANYAVUTTI LPCC (NPI 1538559166) is an individual professional provider in Berkeley, California, licensed in California (LPCC6651) and active in the NPI registry since February 2015. He maintains a secondary practice location in Skokie.

NPPES Registry Identity

NPI1538559166
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJUSTIN SURACHAI TANYAVUTTICredential: LPCC
Location Address1918 BONITA AVEBerkeley, CA 94704
Mailing AddressPo Box 2543Berkeley, CA 94702-0543 · (847) 422-3654
Phone(703) 261-9973
Sole ProprietorYes
Enumeration DateFebruary 3, 2015
Last NPPES UpdateSeptember 16, 2019
✔ NPI 1538559166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · LPCC6651✔ Licensed in IL · 178.010560
1918 BONITA AVE, Berkeley, CA 94704
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Secondary Practice Location 1

Location 15225 Old Orchard Rd, Suite 37Skokie, IL 60077-4405 · Phone (847) 529-8300 ext. 4

Other Providers at the Same Location NPPES 9

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

SHARI GLEICHER LCSW
Social Worker (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 519-4650
MISS TRACY L DAVIS L.C.S.W.
Social Worker (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 381-4191
KELLY ANNE BASSIN LMFT
Counselor
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (209) 980-7707
SOPHIA GENONE PH.D.
Psychologist (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 290-3273
MADELINE RAZAVI LCSW
Social Worker (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 990-2306
EZRIMAYR CHIOMA M.A. LMFT
Marriage & Family Therapist
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (415) 877-1507
ALEJANDRA OJEDA-BECK
Psychologist (School)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 306-1649
DR. MARI ALANNA LARANGEIRA PHD, CST
Community Health Worker
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (805) 280-8775

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 Justin Tanyavutti's NPI number?

The NPI number for Justin Tanyavutti is 1538559166. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Where is Justin Tanyavutti located?

Justin Tanyavutti practices at 1918 Bonita Ave, Berkeley, CA 94704. The listed phone number is (703) 261-9973.

What is Justin Tanyavutti's specialty?

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

When was this NPI record last updated?

The NPPES record for Justin Tanyavutti was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.