Elmer George Myron, LBSW, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11597 Issued in AZ

Practice address

4041 N. Central Ave
Building C
Phoenix, AZ 85012-3133

Phone

(602) 279-5262

Fax

(602) 279-5393

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1710197843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 W COLUMBINE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292970",
            "telephone_number": "602-481-6717",
            "fax_number": "602-279-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N. CENTRAL AVE",
            "address_2": "BUILDING C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123133",
            "telephone_number": "602-279-5262",
            "fax_number": "602-279-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRON",
        "first_name": "ELMER",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "LBSW, LISAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "11597",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "4125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910209",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myra Joy Gregory Touch of Joy
• Barbara Diane Myrick, LPC LICENSED PROFESS
• Lesley Myrick
• Lori Myrick, PT
• Paige Elizabeth Myrick, LCSW
• Mervin Lee Myrvik, M.D.
• David Myrza, PHMNP
• Arsen Mysllinj, PHARMD
• Mythos Behavioral Health
• Mytruejoy LLC

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.