Active NPI
Kimberly Thanh Nguyen, LPC, ATR-BC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1245967694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 732 Isom Road
Suite C Room 1
San Antonio, TX 78216-7821 - Phone
- (469) 563-2890
- NPI assigned
- Aug 5, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8844 | TX | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
732 Isom Road
Suite C Room 1
San Antonio, TX 78216-7821
Mailing address
732 Isom Road
Suite C Room 1
San Antonio, TX 78216-5638
Phone (469) 563-2890
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 |
|---|---|---|---|
| 8844 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nguyen Art Therapy and Counseling | Single Specialty | Current | Accepting new patients |
| Into the Roots Therapy, PLLC | Single Specialty | Current | Accepting new patients |
Locations
732 Isom Rd
Ste C
San Antonio, TX 78216
Phone (469) 563-2890
Organizations & group practices 2
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.
-
- Mental Health Counselor
- San Antonio, TX
- NPI 1033946702
Single Specialty
-
- Mental Health Counselor
- San Antonio, TX
- NPI 1720784903
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1245967694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 ISOM ROAD",
"address_2": "SUITE C ROOM 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165638",
"telephone_number": "469-563-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 ISOM ROAD",
"address_2": "SUITE C ROOM 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782167821",
"telephone_number": "469-563-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIMBERLY",
"middle_name": "THANH",
"credential": "LPC, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-05",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "TX",
"license": "8844",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.