Active NPI
Han Ngoc Nguyen
- Behavior Analyst
- Worth, IL
National Provider Identifier
1790336378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-60877
- Practice address
- 11301 S Harlem Ave
Worth, IL 60482-2001 - Phone
- (866) 273-8060
- NPI assigned
- Sep 24, 2019
- Last updated
- Sep 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Behavior Analyst | 103K00000X | 1-22-60877 | NU | Primary |
Addresses
Primary practice location
11301 S Harlem Ave
Worth, IL 60482-2001
Mailing address
111 N County Farm Rd
Wheaton, IL 60187-3977
Other practice location 1
115 N County Farm Rd
Wheaton, IL 60187-3977
Phone (630) 627-1700
Other practice location 2
1S273 Ingersoll Lane
Villa Park, IL 60181-6018
Phone (630) 398-1716
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1790336378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N COUNTY FARM RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 S HARLEM AVE",
"city": "WORTH",
"state": "IL",
"postal_code": "604822001",
"telephone_number": "866-273-8060"
}
],
"practiceLocations": [
{
"address_1": "115 N County Farm Rd",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601873977",
"country_code": "US",
"telephone_number": "630-627-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1S273 Ingersoll Lane",
"address_purpose": "LOCATION",
"city": "Villa Park",
"state": "IL",
"postal_code": "601816018",
"country_code": "US",
"telephone_number": "630-398-1716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "HAN",
"middle_name": "NGOC",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2022-09-05",
"certification_date": "2022-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-22-60877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.