Michelle Turnbough, LCPC

Key facts

NPI

1689220709

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

180011409 (IL)

Practice address

15523B Keating Ave
Oak Forest, IL 60452-3638

Phone

(773) 467-6739

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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.

• N'Courage Counseling and Consultation Services, PLLC Professional Counselor · Evergreen PK, IL · NPI 1154058691
  NPD Authorized official PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2019.

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1689220709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15523B KEATING AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523638",
            "telephone_number": "773-467-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15523B KEATING AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523638",
            "telephone_number": "773-467-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBOUGH",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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