Active NPI
Manette Galvan Turner, L.C.P.C.
- Mental Health Counselor
- Wheaton, IL
National Provider Identifier
1982700522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 610 W Roosevelt Rd
Suite B-1
Wheaton, IL 60187-5087 - Phone
- (630) 462-3999
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
610 W Roosevelt Rd
Suite B-1
Wheaton, IL 60187-5087
Mailing address
610 W Roosevelt Rd
Suite B-1
Wheaton, IL 60187-5087
Phone (630) 462-3999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2273064 | Other | IL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 180-003918 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camino Counseling, PLLC | Current | Accepting new patients |
Locations
610 W Roosevelt Rd
Ste B1
Wheaton, IL 60187
Phone (630) 462-3999
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.
-
- Counselor
- Wheaton, IL
- NPI 1093648487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982700522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W ROOSEVELT RD",
"address_2": "SUITE B-1",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875087",
"telephone_number": "630-462-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W ROOSEVELT RD",
"address_2": "SUITE B-1",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875087",
"telephone_number": "630-462-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAN TURNER",
"first_name": "MANETTE",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2273064",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.