Individual provider Active NPI

Sophin Zoe Pruong-McCreery

  • Mental Health Counselor
  • Anaheim, CA
National Provider Identifier
1326959933
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
100 S Anaheim Blvd Ste 150
Anaheim, CA 92805-3870
Phone
(714) 780-0750
NPI assigned
Sep 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

100 S Anaheim Blvd Ste 150
Anaheim, CA 92805-3870

Mailing address

100 S Anaheim Blvd Ste 150
Anaheim, CA 92805-3870
Phone (714) 780-0750

Other names 1

  • Sophin Pruong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1326959933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ANAHEIM BLVD STE 150",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053870",
            "telephone_number": "714-780-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ANAHEIM BLVD STE 150",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053870",
            "telephone_number": "714-780-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUONG-MCCREERY",
        "first_name": "SOPHIN",
        "middle_name": "ZOE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIN",
            "last_name": "PRUONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.