EILEEN MARIE VAN TYNE LMFT
NPI 1972377331
Counselor - Mental Health in Berkeley, CA

Active since November 07, 2023Opted out of Medicare · through Jan 1, 2028
3099 TELEGRAPH AVE, BERKELEY, CA 94705(415) 275-2507 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eileen Marie Van Tyne Lmft NPPES

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

EILEEN MARIE VAN TYNE LMFT (NPI 1972377331) is an individual mental health provider in Berkeley, California, licensed in California (140692) and active in the NPI registry since November 2023. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1972377331
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEILEEN MARIE VAN TYNECredential: LMFT
Location Address3099 TELEGRAPH AVEBerkeley, CA 94705-2035
Mailing Address3099 Telegraph AveBerkeley, CA 94705-2035 · (415) 275-2507
Sole ProprietorYes
Enumeration DateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
NPI 1972377331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 140692
3099 TELEGRAPH AVE, Berkeley, CA 94705

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Eileen Marie Van Tyne Lmft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

Marriage & Family Therapist
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Marriage & Family Therapist
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Marriage & Family Therapist
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Social Worker (Clinical)
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Chiropractor
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Social Worker (Clinical)
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Psychologist (Clinical)
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Marriage & Family Therapist
3099 TELEGRAPH AVE
BERKELEY, CA 94705

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 Eileen Van Tyne's NPI number?

The NPI number for Eileen Van Tyne is 1972377331. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Where is Eileen Van Tyne located?

Eileen Van Tyne practices at 3099 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (415) 275-2507.

What is Eileen Van Tyne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Eileen Van Tyne enrolled in Medicare?

No. Eileen Van Tyne has opted out of Medicare through January 1, 2028. 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 Eileen Van Tyne was last updated on November 7, 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.