Active NPI
Joshua Francis Medeiros, LPC-MHSP
- Mental Health Counselor
- Clarksville, TN
National Provider Identifier
1053032235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6264
- Practice address
- 516 Madison St
Clarksville, TN 37040-3671 - Phone
- (615) 383-2115
- NPI assigned
- Sep 7, 2022
- Last updated
- Aug 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6264 | TN | |
| Mental Health Counselor | 101YM0800X | 6264 | TN | Primary |
| Professional Counselor | 101YP2500X | 6264 | TN |
Addresses
Primary practice location
516 Madison St
Clarksville, TN 37040-3671
Mailing address
104 Red Paint RDG
Clarksville, TN 37043-1529
Phone (941) 773-1359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1053032235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 RED PAINT RDG",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370431529",
"telephone_number": "941-773-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 MADISON ST",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370403671",
"telephone_number": "615-383-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEIROS",
"first_name": "JOSHUA",
"middle_name": "FRANCIS",
"credential": "LPC-MHSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-07",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "6264",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "6264",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "6264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.