Individual provider Active NPI

Myles Culver Hustad

  • Marriage & Family Therapist
  • Mukilteo, WA
National Provider Identifier
1225620966
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MK61645925 Issued in WA
Practice address
5306 93Rd PL SW
Mukilteo, WA 98275-3610
Phone
(509) 934-4005
Fax
(509) 934-4006
NPI assigned
Feb 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12868160-3902 UT
Marriage & Family Therapist 106H00000X MK61645925 WA Primary

Addresses

Primary practice location

5306 93Rd PL SW
Mukilteo, WA 98275-3610

Mailing address

100 N Howard St Ste R
Spokane, WA 99201-0508
Phone (509) 934-4005

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
12868160-3902UTMDMarriage & Family Therapist
MK61645925WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Faithfull Homestead Christian Counseling PLLC Marriage & Family Therapist CurrentSince May 11, 2025 Accepting new patients

Locations

100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163

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.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1225620966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE R",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "509-934-4005",
            "fax_number": "509-934-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 93RD PL SW",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982753610",
            "telephone_number": "509-934-4005",
            "fax_number": "509-934-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTAD",
        "first_name": "MYLES",
        "middle_name": "CULVER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "12868160-3902",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MK61645925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.