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Mackenzie Van

Peer Specialist β€’ Indio, CA

Active NPI 1033971593 Individual Practitioner Female Practitioner
Practice location in NPPES

47915 Oasis St Unit C
Indio, CA 922016950

Call 4422824909 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

47915 Oasis St Unit C

Indio, CA 922016950

Telephone 4422824909
Organization at the Same NPPES Address or Phone
Telecare Tranquil Springs Crt Facility NPI 1396556973

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Indio, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Indio and California

111 active clinicians are listed under Peer Specialist with a practice address in Indio, CA (4,535 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Indio

0% of these 111 clinicians have the CMS telehealth indicator.

0% of these 111 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-02
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Social Worker - School

NUCC Taxonomy Code: 1041S0200X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

47915 Oasis St

Indio, CA 922016950

Phone: 7608638650

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 02, 2025

Registered at 47915 OASIS ST UNIT C, INDIO, CA 922016950 (Tel: 4422824909)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2025

Social Worker

βœ…
NPI Profile Active January 29, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 29, 2024

Registered at 47915 OASIS ST, INDIO, CA 922016950 (Tel: 7608638650)

πŸ“
Business Mailing Address (Initial Record) January 29, 2024

Registered at PO BOX 13084, PALM DESERT, CA 922553084 (Tel: 7602892212)

πŸ‘€
Provider Name / Credentials (Initial Record) January 29, 2024

Recorded as MACKENZIE VAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2024

Peer Specialist

🟒
Initial NPI Registration & Enumeration January 29, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033971593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2024
Last Update: September 02, 2025
Sole Proprietor: No

Mailing Address

Po Box 13084

Palm Desert, CA 922553084

Phone: 7602892212

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.