Active NPI
Theres Hong Tran
- Mental Health Counselor
- Rosemead, CA
National Provider Identifier
1174053375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AMFT109315
- Practice address
- 9353 Valley Blvd
Rosemead, CA 91770-1923 - Phone
- (626) 287-2988
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Counselor | 101YM0800X | AMFT109315 | CA | Primary |
Addresses
Primary practice location
9353 Valley Blvd
Rosemead, CA 91770-1923
Mailing address
2019 S Ninth St
Anaheim, CA 92802-3202
Phone (714) 728-1687
Other names 1
- Phuoc Hong Tran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT109315 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1174053375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 S NINTH ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928023202",
"telephone_number": "714-728-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9353 VALLEY BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701923",
"telephone_number": "626-287-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THERES",
"middle_name": "HONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT109315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PHUOC",
"last_name": "TRAN",
"middle_name": "HONG",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.