Joshua Clemmons, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015008 Issued in PA

Practice address

2002 Sproul Rd FL 3
Broomall, PA 19008-3510

Phone

(610) 626-8085

NPI assigned

Jan 16, 2023

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Stone Arbor Counseling LLC

  • Counselor
  • Ardmore, PA
  • NPI 1063356509
  NPD Authorized official
• Psych Choices of the Delaware Valley, LLC

  • Professional Counselor
  • Drexel Hill, PA
  • NPI 1194213892
  NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1023723954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 SENTINEL RDG",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194035280",
            "telephone_number": "813-763-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 SPROUL RD FL 3",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083510",
            "telephone_number": "610-626-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMMONS",
        "first_name": "JOSHUA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cirillo
• Jennifer L Claves, MD
• Clearpath Psychiatry & Counseling
• Clearpath Psychiatry & Counseling PLLC
• Kira Clements
• David Wesley Clifton Jr., P.T.
• Henry John Cluver Jr., DMD
• CMB Family Dentistry
• Lindsey E Cobbett, MD
• Edwina Navasha Coleman, MD

• Professional Counselor in Broomall, PA
• Providers in Broomall, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.