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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: July 19, 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 8

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

MISS TRACY L DAVIS L.C.S.W.
Social Worker (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 381-4191
MADELINE RAZAVI LCSW
Social Worker (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 990-2306
KELLY ANNE BASSIN LMFT
Counselor
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (209) 980-7707
DR. ALEXANDER JOSEPH LAPINSKI PSY.D., M.S.W.
Psychologist (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (415) 475-8054
EZRIMAYR CHIOMA M.A. LMFT
Marriage & Family Therapist
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (415) 877-1507
SHARI GLEICHER LCSW
Social Worker (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 519-4650
SOPHIA GENONE PH.D.
Psychologist (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 290-3273
DR. MARI ALANNA LARANGEIRA PHD, CST
Community Health Worker
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (805) 280-8775

Frequently Asked Questions

What is Justin Tanyavutti's NPI number?

The NPI number assigned to this healthcare provider is 1538559166, enumerated as an "individual" on February 03, 2015.

Where is the provider located?

The provider is located at 1918 BONITA AVE BERKELEY, CA 94704 and the phone number is (703) 261-9973.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.