Active NPI
Joshua Daniel Nursall, LSAT
- Addiction (Substance Use Disorder) Counselor
- Chandler, AZ
National Provider Identifier
1447716857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LSAT-15121
- Practice address
- 932 S Gardner Dr
Chandler, AZ 85224-7231 - Phone
- (480) 389-8422
- NPI assigned
- Feb 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LSAT-15121 | AZ | Primary |
Addresses
Primary practice location
932 S Gardner Dr
Chandler, AZ 85224-7231
Mailing address
932 S Gardner Dr
Chandler, AZ 85224-7231
Phone (480) 389-8422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LSAT-15121 | Other | AZ | ARIZONA BOARD OF BEHAVIORAL HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSAT-15121 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1447716857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 S GARDNER DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852247231",
"telephone_number": "480-389-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 S GARDNER DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852247231",
"telephone_number": "480-389-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NURSALL",
"first_name": "JOSHUA",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "LSAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LSAT-15121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH",
"identifier": "LSAT-15121",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.