TONY PHAM LPC NCC NPI 1659962405

NPI Information

  • NPI: 1659962405
  • Provider Name: TONY PHAM, LPC, NCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16535 W BLUEMOUND RD STE 200
    BROOKFIELD, WI
    ZIP 53005
  • Phone: (262) 789-1191

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NPI Details

Tony Pham, LPC, NCC is a professional counselor in Brookfield, WI. Tony Pham, LPC, NCC NPI is 1659962405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI
ZIP 53005-906
Phone: (262) 789-1191
Fax: (262) 821-6180

The NPI 1659962405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/2/2021 and was last updated on 10/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health7045WISCONSINNo
2101YP2500XCounselorProfessional7045WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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