Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Surachai Tanyavutti, LPCC

Individual provider Professional Counselor · NPI 1538559166

Justin Surachai Tanyavutti, LPCC is a Professional Counselor in Berkeley, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1918 Bonita Ave
Berkeley, CA 94704
Phone: (703) 261-9973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5225 Old Orchard Rd, Skokie, IL 60077-4405 — (847) 529-8300

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPCC6651 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 178.010560 (IL)

Record details

NPI number1538559166
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorYes
NPI enumeratedFebruary 3, 2015
Last updated in NPPESSeptember 16, 2019

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