Kevin Minh Tran-Mortel

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

22533 Issued in CA

Practice address

1511 Sycamore Ave Ste M-200
Hercules, CA 94547-1767

Phone

(650) 200-3579

NPI assigned

Oct 27, 2017

Reactivated

Jul 3, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1174035349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 SYCAMORE AVE STE M-200",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471767",
            "telephone_number": "650-200-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SYCAMORE AVE STE M-200",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471767",
            "telephone_number": "650-200-3579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Arnold Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "CA",
            "postal_code": "945536538",
            "country_code": "US",
            "telephone_number": "925-387-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN-MORTEL",
        "first_name": "KEVIN",
        "middle_name": "MINH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-27",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "deactivation_date": "2024-05-30",
        "reactivation_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "22533",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hercules, CA
• Providers in Hercules, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.