KAYLA LIN
NPI 1912447020
Counselor in Suwanee, GA

Active since March 08, 2017Opted out of Medicare · through Nov 15, 2026
3905 JOHNS CREEK CT, SUITE 260, SUWANEE, GA 30024(770) 753-0350(770) 497-9536 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kayla Lin NPPES

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

KAYLA LIN (NPI 1912447020) is an individual counselor in Suwanee, Georgia, licensed in Georgia (APC005632) and active in the NPI registry since March 2017. She has opted out of Medicare through November 15, 2026.

NPPES Registry Identity

NPI1912447020
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKAYLA LIN
Location Address3905 JOHNS CREEK CT, SUITE 260Suwanee, GA 30024-1224
Mailing Address3905 Johns Creek Ct, Suite 260Suwanee, GA 30024-1224 · (770) 753-0350 · Fax (770) 497-9536
Fax(770) 497-9536
Sole ProprietorNo
Enumeration DateMarch 8, 2017
NPI 1912447020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in GA · APC005632
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3905 JOHNS CREEK CT, Suwanee, GA 30024

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kayla Lin 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 November 15, 2024 through November 15, 2026.

Opt-Out Effective DateNovember 15, 2024
Opt-Out In Effect ThroughNovember 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Speech-Language Pathologist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Counselor (Professional)
3905 JOHNS CREEK CT, SUITE 260
SUWANEE, GA 30024
Occupational Therapist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Specialist
3905 JOHNS CREEK CT
SUWANEE, GA 30024
Physical Therapist
3905 JOHNS CREEK CT, SUITE 250
SUWANEE, GA 30024
Counselor (Professional)
3905 JOHNS CREEK CT, SUITE 260
SUWANEE, GA 30024
Occupational Therapist
3905 JOHNS CREEK CT, STE. 250
SUWANEE, GA 30024

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 Kayla Lin's NPI number?

The NPI number for Kayla Lin is 1912447020. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Kayla Lin located?

Kayla Lin practices at 3905 Johns Creek Ct Suite 260, Suwanee, GA 30024. The listed phone number is (770) 753-0350.

What is Kayla Lin's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kayla Lin enrolled in Medicare?

No. Kayla Lin has opted out of Medicare through November 15, 2026. 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 Kayla Lin was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.