Active NPI
Chance Turnbull, BCBA
- Counselor
- Indian Wells, CA
National Provider Identifier
1407366628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1-23-68163
- Practice address
- 45180 Club Dr
Indian Wells, CA 92210-8806 - Phone
- (760) 922-4091
- NPI assigned
- Oct 2, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Counselor | 101Y00000X | 1-23-68163 | Primary |
Addresses
Primary practice location
45180 Club Dr
Indian Wells, CA 92210-8806
Mailing address
45180 Club Dr
Indian Wells, CA 92210-8806
Phone (760) 922-4091
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": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1407366628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45180 CLUB DR",
"city": "INDIAN WELLS",
"state": "CA",
"postal_code": "922108806",
"telephone_number": "760-922-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45180 CLUB DR",
"city": "INDIAN WELLS",
"state": "CA",
"postal_code": "922108806",
"telephone_number": "760-922-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNBULL",
"first_name": "CHANCE",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-02",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "1-23-68163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Wells, CA
- South West TMJ Speciality Group (Indian Wells Smiles)
- Southwest Community Church of Palm Desert
- Amanda Steiger, M.A., MFT
- Matthew Torres, DC
- Jimmy Z. Trimble
- Bruce Calvin Underwood, DR.P.H.,M.S.E.,M.P.H
- Kate Fox Van Grouw, ND
- Welevate for Pain a Medical Corp
- Rustin Craig Wilson, D.C.
- Morton Zebrack, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.