Individual provider Active NPI

Edward Prothero, M.S. LMFT

  • Marriage & Family Therapist
  • Yuba City, CA
National Provider Identifier
1508056177
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 51165 Issued in CA
Practice address
438 Colusa Ave
Suite a
Yuba City, CA 95991-4148
Phone
(530) 755-0735
Fax
(530) 755-0737
NPI assigned
Jul 30, 2007
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 51165 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

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC 51165CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Prothero Marriage and Family Therapist and Associates in Marriage & Family Therapist PastSince Jan 1, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1508056177",
    "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": {
        "last_name": "PROTHERO",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M.S. LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 51165",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 17, 2012; 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.