Viet Nguyen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-136495 Issued in CA

Practice address

474 Wando Park Blvd Ste 104
Mount Pleasant, SC 29464-7933

Phone

(843) 654-5000

NPI assigned

Jan 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Star Counseling LLC

  • Behavior Analyst
  • Mount Pleasant, SC
  • NPI 1285089227
  NPD (past)

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1245697390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 WANDO PARK BLVD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 WANDO PARK BLVD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647933",
            "telephone_number": "843-654-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-20-136495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CG60628919",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Smile Shoppe LLC
• New Tide Psychotherapy
• Margaret Newman-Crowson, LPC, LMFT
• Nathan S. Newton Jr., PHARM D, R PH
• Minhthu Nguyen
• NH VCN Virtual Primary Care LLC
• Amber Joy Nicholson, PTA
• Jacqueline Nickel, MS CCC SLP
• Jena W. Nickles, PA
• Nicole Dahlkemper, DMD, PC

• Behavior Technician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.