Individual provider Active NPI

Joshua Andrew Canady, LMHC

  • Mental Health Counselor
  • Puyallup, WA
National Provider Identifier
1053502963
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010911 Issued in WA
Practice address
2223 S Meridian
Puyallup, WA 98371-7503
Phone
(206) 388-5131
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 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 LH00010911 WA Primary

Addresses

Primary practice location

2223 S Meridian
Puyallup, WA 98371-7503

Mailing address

1542 S Fife St Ste 150
Tacoma, WA 98405-2641
Phone (206) 388-5131

Other practice location 1

18 W Mercer St
Suite 150
Seattle, WA 98119-3965
Phone (206) 388-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011001533 WA Practitioner - Mental Health Counselor 7911439245 Practice locations: Puyallup, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2223 S Meridian
Puyallup, WA 98371-7503
Phone (206) 388-5131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH00010911WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway to Change Counseling Services PastSince Nov 26, 2024 Accepting new patients

Organizations & group practices 1

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1053502963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 S FIFE ST STE 150",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052641",
            "telephone_number": "206-388-5131",
            "fax_number": "206-452-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717503",
            "telephone_number": "206-388-5131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 W Mercer St",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981193965",
            "country_code": "US",
            "telephone_number": "206-388-5131",
            "fax_number": "206-388-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANADY",
        "first_name": "JOSHUA",
        "middle_name": "ANDREW",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.