Individual provider Active NPI

Courtney Megan Thurston, LPC

  • Mental Health Counselor
  • Ann Arbor, MI
National Provider Identifier
1700368305
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401019096 Issued in MI
Practice address
6276 Jackson Rd Ste D
Ann Arbor, MI 48103-9579
Phone
(734) 956-0051
Fax
(888) 976-6019
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401019096 MI Primary

Addresses

Primary practice location

6276 Jackson Rd Ste D
Ann Arbor, MI 48103-9579

Mailing address

259 Griswold St
Jackson, MI 49203-4162
Phone (269) 419-0242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401019096MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Create Wellness Counseling LLC Mental Health CurrentSince Sep 23, 2024 Accepting new patients
Arbor West Chiropractic Center P.C. PastSince Apr 11, 2021 Accepting new patients
Robert Garcia MD PC PastSince Dec 21, 2013 Accepting new patients

Organizations & group practices 3

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1700368305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 GRISWOLD ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034162",
            "telephone_number": "269-419-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 JACKSON RD STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039579",
            "telephone_number": "734-956-0051",
            "fax_number": "888-976-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "COURTNEY",
        "middle_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401019096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.