Individual provider Active NPI

Edward Guy Furst, LPC, LMFT

  • Professional Counselor
  • Hancock, MI
National Provider Identifier
1225428121
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4101006613 Issued in MI
Practice address
540 Depot St
Hancock, MI 49930-2031
Phone
(903) 870-0963
Fax
(906) 523-9602
NPI assigned
Jan 29, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11030 TX
Professional Counselor 101YP2500X 4101006613 MI Primary
Marriage & Family Therapist 106H00000X 3623 TX
Marriage & Family Therapist 106H00000X 6401014122 MI

Addresses

Primary practice location

540 Depot St
Hancock, MI 49930-2031

Mailing address

16688 Baraga Plains Rd
Baraga, MI 49908-9158
Phone (903) 870-0963

Other practice location 1

16688 Baraga Plains Rd
Baraga, MI 49908-9158
Phone (903) 870-0963

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

LicenseStateTypeSpecialty
4101006613MIMDProfessional Counselor
6401014122MIMDMarriage & Family Therapist
11030TXMDHearing Instrument Specialist
3623TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225428121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16688 BARAGA PLAINS RD",
            "city": "BARAGA",
            "state": "MI",
            "postal_code": "499089158",
            "telephone_number": "903-870-0963",
            "fax_number": "906-523-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 DEPOT ST",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499302031",
            "telephone_number": "903-870-0963",
            "fax_number": "906-523-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16688 Baraga Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Baraga",
            "state": "MI",
            "postal_code": "499089158",
            "country_code": "US",
            "telephone_number": "903-870-0963",
            "fax_number": "903-870-0963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURST",
        "first_name": "EDWARD",
        "middle_name": "GUY",
        "name_prefix": "Mr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11030",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "4101006613",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "3623",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "6401014122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hancock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.