DR. SHAWN L THURBER (PHD) – Marriage & Family Therapist, NPI 1457453789

DR. SHAWN L THURBER (PHD) is a healthcare provider. based in Ammon, Idaho. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials PHD. They hold a License No. LMFT 3341 (ID). The NPI Number for DR. SHAWN L THURBER (PHD) is 1457453789

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAWN L THURBER (PHD)
NPI
1457453789
Phone
(208) 523-0050
Address
4090 WILLOW CANYON DR
Enumeration Date
5 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
20852201401250
Graduation Year
2001 (25 years ago)
PAC ID
6305297383
Group Practice PAC ID
1153644547
Professional Enrollment ID
I20240104001603
Address ID
ID834046486ID2267XPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

49 MARRIAGE AND FAMILY THERAPIST in ID

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Provider Addresses for DR. SHAWN L THURBER (PHD)

  • 4090, Willow Canyon Drive, Ammon, Bonneville County, Idaho, 83406, United States

    AMMON, ID 834066899

    Phone: (208) 523-0050

    Type: Mailing

  • Idaho Falls Best Body Waxing and Hair, Curlew Drive, Pepperwood Village, Ammon, Bonneville County, Idaho, 83405, United States

    IDAHO FALLS, ID 83406

    Phone: (208) 529-4300

    Fax: (208) 529-1627

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240104001603IMarriage And Family TherapistIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83406)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153644547View full group profile
NameSpecialtyState
Clinical Social WorkerID
-ID
-ID
Clinical Social WorkerID
Clinical Social WorkerID
Mental Health CounselorID
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SHAWN L THURBER (PHD)'s NPI?
Yes. DR. SHAWN L THURBER (PHD) is listed with NPI 1457453789 in the public NPI dataset.
Is DR. SHAWN L THURBER (PHD) still practicing?
DR. SHAWN L THURBER (PHD) is currently listed as active in the public NPI registry.
What healthcare role does DR. SHAWN L THURBER (PHD) hold?
Scheduling teams often label DR. SHAWN L THURBER (PHD) under Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What area does DR. SHAWN L THURBER (PHD) serve?
DR. SHAWN L THURBER (PHD)'s listing highlights Ammon, Idaho; more addresses can appear in NPPES.
Why does DR. SHAWN L THURBER (PHD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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