Individual provider Active NPI

Tuyen Duc Nguyen

  • Professional Counselor
  • Dana Point, CA
National Provider Identifier
1609409168
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
26509 Via Sacramento
Dana Point, CA 92624-1323
Phone
(714) 618-8195
NPI assigned
Feb 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16061 TX
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

26509 Via Sacramento
Dana Point, CA 92624-1323

Mailing address

26509 Via Sacramento
Dana Point, CA 92624-1323

Other practice location 1

2950 North Loop W Ste 500
Houston, TX 77092-8830
Phone (724) 250-8855

Other names 1

  • Truyen Duc Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231221001334 TX Practitioner - Mental Health Counselor 6204218084 Reassigns benefits to 1 organization
I20240117000302 CA Practitioner - Other (Non-Physician) 6204218084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16061TXMDPharmacist
15414CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Jonathan Larson MD PC CurrentSince Jan 1, 2024 Accepting new patients
Central Texas Holistic Care PLLC PastSince Aug 25, 2024 Accepting new patients

Locations

2505 Anthem Village Dr
Ste F
Henderson, NV 89052

2505 Anthem Village Dr
Ste F162
Henderson, NV 89052

2505 Anthem Village Dr
Ste E162
Henderson, NV 89052

2025 Memory Ln
Ste 300
Harker Heights, TX 76548
Phone (254) 987-8802

Interoperability endpoints

  • Direct secure messaging: tuyennguyen@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1609409168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26509 VIA SACRAMENTO",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926241323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26509 VIA SACRAMENTO",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926241323",
            "telephone_number": "714-618-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 North Loop W Ste 500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770928830",
            "country_code": "US",
            "telephone_number": "724-250-8855",
            "fax_number": "724-788-0617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUYEN",
        "middle_name": "DUC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16061",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUYEN",
            "last_name": "NGUYEN",
            "middle_name": "DUC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.