Individual provider Active NPI

Myron Ross Thurber, PH.D., PT, LMHC

  • Mental Health Counselor
  • Spokane Valley, WA
National Provider Identifier
1003030917
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003406 Issued in WA
Practice address
12B N University Rd
Spokane Valley, WA 99206-5205
Phone
(509) 891-5900
Fax
(509) 232-6646
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00003406 WA Primary
Physical Therapist 225100000X PT00003756 WA

Addresses

Primary practice location

12B N University Rd
Spokane Valley, WA 99206-5205

Mailing address

12B N University Rd
Spokane Valley, WA 99206-5205
Phone (509) 891-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418001166 WA Practitioner - Mental Health Counselor 4981049103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurotherapy Northwest PLLCGroup PAC ID 0345685566, 2 clinicians

Practice addresses (Care Compare)

12 B N University Rd
Spokane Valley, WA 99206-5205
Phone (509) 891-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH00003406WAMDMental Health Counselor
PT00003756WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Power Wellness PLLC Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients
Neurotherapy Northwest PLLC Mental Health CurrentSince Jan 1, 2022 Accepting new patients

Locations

12B N University Rd
Spokane Valley, WA 99206
Phone (509) 818-0086

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1003030917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12B N UNIVERSITY RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065205",
            "telephone_number": "509-891-5900",
            "fax_number": "509-232-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12B N UNIVERSITY RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065205",
            "telephone_number": "509-891-5900",
            "fax_number": "509-232-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURBER",
        "first_name": "MYRON",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "PH.D., PT, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003406",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.