Active NPI
Quoc Dung Tran, LPC, LCDC
- Professional Counselor
- Waller, TX
National Provider Identifier
1710228655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67871
- Practice address
- 20114 Great Lake St
Waller, TX 77484-7085 - Phone
- (832) 594-1895
- NPI assigned
- Mar 1, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17239 | TX | |
| Professional Counselor | 101YP2500X | 67871 | TX | Primary |
Addresses
Primary practice location
20114 Great Lake St
Waller, TX 77484-7085
Mailing address
20114 Great Lake St
Waller, TX 77484-7085
Phone (832) 594-1895
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 |
|---|---|---|---|
| 67871 | TX | MD | Professional Counselor |
| 17239 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1710228655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20114 GREAT LAKE ST",
"city": "WALLER",
"state": "TX",
"postal_code": "774847085",
"telephone_number": "832-594-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20114 GREAT LAKE ST",
"city": "WALLER",
"state": "TX",
"postal_code": "774847085",
"telephone_number": "832-594-1895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "QUOC DUNG",
"name_prefix": "Mr.",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-01",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "17239",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.