Individual provider Active NPI

Joshua Thomas Paul, LPC CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Madison, WI
National Provider Identifier
1447638440
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16054 Issued in WI
Practice address
1001 Fourier Drive
Suite 200
Madison, WI 53717-1958
Phone
(608) 740-2001
Fax
(608) 740-2002
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6314 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 16054 WI Primary

Addresses

Primary practice location

1001 Fourier Drive
Suite 200
Madison, WI 53717-1958

Mailing address

1001 Fourier Dr Ste 200
Madison, WI 53717-1958
Phone (608) 740-2001

Other practice location 1

1225 W Mitchell St
Suite 212
Milwaukee, WI 53204-3383
Phone (414) 383-4455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpaul906888@direct.uwhealth.org

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16054WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD CurrentSince Mar 4, 2024 Accepting new patients
Nystrom & Associates Counseling Wi., S.C. CurrentSince Jan 1, 2024 Accepting new patients
Nystrom & Associates Counseling Wi., S.C. CurrentSince Jan 1, 2024 Accepting new patients
Family Support Services Inc. CurrentSince Mar 4, 2024 Accepting new patients

Locations

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

1811 Weir Dr
Ste 270
Woodbury, MN 55125
Phone (651) 243-6087

201 Main St
Ste 500
La Crosse, WI 54601
Phone (608) 668-4005

1001 Fourier Dr
Ste 200
Madison, WI 53717
Phone (608) 740-2001

2935 Universal Ct
#2
Oshkosh, WI 54904
Phone (844) 697-8766

Interoperability endpoints

  • Direct secure messaging: ilobeck1223912@direct.uwhealth.org

Organizations & group practices 4

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1447638440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 FOURIER DR STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171958",
            "telephone_number": "608-740-2001",
            "fax_number": "608-740-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FOURIER DRIVE",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171958",
            "telephone_number": "608-740-2001",
            "fax_number": "608-740-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 W Mitchell St",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532043383",
            "country_code": "US",
            "telephone_number": "414-383-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JOSHUA",
        "middle_name": "THOMAS",
        "credential": "LPC CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6314",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpaul906888@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1102 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.