Active NPI
Joshua Duboise, MS, LPC
- Professional Counselor
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-21163
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-0414
- Fax
- (602) 933-4252
- NPI assigned
- Jan 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LPC-21163 | AZ | |
| Professional Counselor | 101YP2500X | LPC-21163 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-3124
Other practice location 1
7143 E Southern Ave
Mesa, AZ 85209-2654
Phone (480) 758-5948
Other practice location 2
1830 S Alma School Rd Ste 112
Mesa, AZ 85210-3086
Phone (480) 730-6222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487352183 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-21163 | AZ | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Banner Telehealth LLC | Mental Health (Including Community Mental Health Center) | Current | Accepting new patients |
| Banner Telehealth LLC | Mental Health (Including Community Mental Health Center) | Current | Accepting new patients |
| Arizona Psychology Consultants, Inc. | Professional | Past | Accepting new patients |
| Professional Counseling Associates, LLC | Professional | Past | Accepting new patients |
Locations
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
1919 E Thomas Rd
Ste Ambbldg
Phoenix, AZ 85016
7575 E Earll Dr
Ste 101
Scottsdale, AZ 85251
Phone (480) 684-8345
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1386352714
Mental Health (Including Community Mental Health Center)
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Scottsdale, AZ
- NPI 1396492005
Mental Health (Including Community Mental Health Center)
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Marriage & Family Therapist
- Mesa, AZ
- NPI 1568581031
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1063985141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850160008",
"telephone_number": "602-933-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-0414",
"fax_number": "602-933-4252"
}
],
"practiceLocations": [
{
"address_1": "7143 E Southern Ave",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852092654",
"country_code": "US",
"telephone_number": "480-758-5948",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1830 S Alma School Rd Ste 112",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852103086",
"country_code": "US",
"telephone_number": "480-730-6222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBOISE",
"first_name": "JOSHUA",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-10",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "AZ",
"license": "LPC-21163",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-21163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487352183",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.