NPIMap

Organization Active NPI

Michael Prothero Marriage and Family Therapist and Associates in

  • Marriage & Family Therapist
  • Yuba City, CA
National Provider Identifier
1265694954
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC36329 Issued in CA
Legal business name
MICHAEL PROTHERO MARRIAGE AND FAMILY THERAPIST AND ASSOCIATES IN
Practice address
438 Colusa Ave
Suite a
Yuba City, CA 95991-4148
Phone
(530) 755-0735
Fax
(530) 755-0737
NPI assigned
Jun 25, 2008
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mr. Michael Wayne Prothero, LMFT, LPCCNPI 1538236518
Title
Owner
Phone
(530) 755-0735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC808 CA
Marriage & Family Therapist 106H00000X MFC36329 CA Primary

Addresses

Primary practice location

438 Colusa Ave
Suite a
Yuba City, CA 95991-4148

Mailing address

438 Colusa Ave
Suite a
Yuba City, CA 95991-4148
Phone (530) 755-0735

Other identifiers 1

IdentifierTypeStateIssuer
1538236518OtherCASOLE PROPRIETOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241114002809 CA Part B Supplier - Clinic/Group Practice 0446784326 Receives reassigned benefits from 4 practitioners
Practice locations: Yuba City, CA

National Provider Directory

National Provider Directory

Locations

438 Colusa Ave
Ste A
Yuba City, CA 95991
Phone (530) 755-0735

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1265694954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 COLUSA AVE",
            "address_2": "SUITE A",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914148",
            "telephone_number": "530-755-0735",
            "fax_number": "530-755-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 COLUSA AVE",
            "address_2": "SUITE A",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914148",
            "telephone_number": "530-755-0735",
            "fax_number": "530-755-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL PROTHERO MARRIAGE AND FAMILY THERAPIST AND ASSOCIATES IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "PROTHERO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-755-0735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC808",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETOR",
            "identifier": "1538236518",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.