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

NPI Status: Active since February 03, 2015

Contact Information

1918 BONITA AVE
BERKELEY, CA
ZIP 94704
Phone: (703) 261-9973

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  • Individual
  • Male
  • Counselor
  • Professional

About JUSTIN TANYAVUTTI

This page provides the complete NPI Profile along with additional information for Justin Tanyavutti, a provider established in Berkeley, California with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1538559166 assigned on February 2015. The practitioner's primary taxonomy code is 101YP2500X with license number LPCC6651 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1538559166
Provider Name
JUSTIN SURACHAI TANYAVUTTI LPCC
Gender
Male
Entity Type
Individual
Location Address
1918 BONITA AVE BERKELEY, CA 94704
Location Phone
(703) 261-9973
Mailing Address
PO BOX 2543 BERKELEY, CA 94702
Mailing Phone
(847) 422-3654
Is Sole Proprietor?
Yes
Enumeration Date
02-03-2015
Last Update Date
09-16-2019
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Location Map

Secondary Locations

  • 5225 Old Orchard Rd Suite 37
    Skokie, IL 60077
    (847) 529-8300

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPCC6651
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

178.010560 (IL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538559166
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
256810518112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 0 + 5 + 1 + 8 + 1 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1538559166 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326228586MISS TRACY L DAVIS L.C.S.W.
Individual
Social Worker (Clinical)1918 BONITA AVE
BERKELEY, CA 94704
(510) 381-4191
1578008710 MADELINE RAZAVI LCSW
Individual
Social Worker (Clinical)1918 BONITA AVE
BERKELEY, CA 94704
(510) 990-2306
1326517145 KELLY ANNE BASSIN LMFT
Individual
Counselor1918 BONITA AVE
BERKELEY, CA 94704
(209) 980-7707
1730401514DR. ALEXANDER JOSEPH LAPINSKI PSY.D., M.S.W.
Individual
Psychologist (Clinical)1918 BONITA AVE
BERKELEY, CA 94704
(415) 475-8054
1578711248 EZRIMAYR CHIOMA M.A. LMFT
Individual
Marriage & Family Therapist1918 BONITA AVE
BERKELEY, CA 94704
(415) 877-1507
1053687319 SHARI GLEICHER LCSW
Individual
Social Worker (Clinical)1918 BONITA AVE
BERKELEY, CA 94704
(510) 519-4650
1558566000 SOPHIA GENONE PH.D.
Individual
Psychologist (Clinical)1918 BONITA AVE
BERKELEY, CA 94704
(510) 290-3273
1639982101DR. MARI ALANNA LARANGEIRA PHD, CST
Individual
Community Health Worker1918 BONITA AVE
BERKELEY, CA 94704
(805) 280-8775

Frequently Asked Questions

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

The provider is located at 1918 Bonita Ave Berkeley, Ca 94704 and the phone number is (703) 261-9973

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on February 03, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.