Individual provider Active NPI

Joshua W Treadway, LPCC-S

  • Mental Health Counselor
  • Dayton, OH
National Provider Identifier
1497096580
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1100100-SUPV Issued in OH
Practice address
1020 Woodman Dr Ste 330
Dayton, OH 45432-1410
Phone
(937) 253-0606
NPI assigned
Mar 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 E.1100100-SUPV OH Primary

Addresses

Primary practice location

1020 Woodman Dr Ste 330
Dayton, OH 45432-1410

Mailing address

1810 Ambridge Rd
Centerville, OH 45459-5108
Phone (937) 430-4851

Other practice location 1

1810 Ambridge Rd
Centerville, OH 45459-5108
Phone (937) 430-4851

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
E.1100100-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
National Youth Advocate Program, Inc CurrentSince Jan 12, 2025 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Jan 12, 2025 Accepting new patients

Locations

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

1801 Watermark Dr
Ste 200
Columbus, OH 43215

1020 Woodman Dr
Ste 300
Dayton, OH 45432
Phone (937) 253-0606

1020 Woodman Dr
Ste 330
Dayton, OH 45432
Phone (937) 253-0606

Organizations & group practices 2

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": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1497096580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 AMBRIDGE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454595108",
            "telephone_number": "937-430-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WOODMAN DR STE 330",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321410",
            "telephone_number": "937-253-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Ambridge Rd",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454595108",
            "country_code": "US",
            "telephone_number": "937-430-4851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREADWAY",
        "first_name": "JOSHUA",
        "middle_name": "W",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1100100-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.