John R. Thur, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

376-123 Issued in WI

Practice address

2600 Stewart Ave
Ste 38
Wausau, WI 54401-4148

Phone

(715) 845-4900

Fax

(715) 845-4970

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Achieve Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wausau, WI
  • NPI 1639395718
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1508075201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6623 COUNTY ROAD K",
            "city": "AMHERST",
            "state": "WI",
            "postal_code": "544069160",
            "telephone_number": "715-845-4900",
            "fax_number": "715-845-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 STEWART AVE",
            "address_2": "STE 38",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014148",
            "telephone_number": "715-845-4900",
            "fax_number": "715-845-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUR",
        "first_name": "JOHN",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "376-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39575900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Throm Chiropractic LLC
• Throm Chiropractic SC
• Throm Health and Wellness
• Peter A Throm, DC
• Sarah Anne Thums, OTD
• Katherine Marie Thurs, APNP
• Katrina M Thurs, MS CCC SLP
• David Tice, MS, LPC
• Gabriel Ticho, MD
• Nicole Renee Tieman, RPH

• Clinical Social Worker in Wausau, WI
• Providers in Wausau, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.