Individual provider Active NPI

Joshua Ulrich

  • Professional Counselor
  • Sacaton, AZ
National Provider Identifier
1508303058
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-16587 Issued in AZ
Practice address
483 West Seed Farm Road
Sacaton, AZ 85147
Phone
(520) 562-3323
NPI assigned
Jan 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-16587 AZ Primary

Addresses

Primary practice location

483 West Seed Farm Road
Sacaton, AZ 85147

Mailing address

921 W University Dr
#1201
Mesa, AZ 85201-5538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241115001451 AZ Practitioner - Mental Health Counselor 6507390358 Reassigns benefits to 1 organization
I20241119000743 CO Practitioner - Mental Health Counselor 6507390358 Reassigns benefits to 1 organization
I20241205003853 TX Practitioner - Mental Health Counselor 6507390358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-16587AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salt River Pima-Maricopa Indian Community CurrentSince Dec 12, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Oct 15, 2024 Accepting new patients
Salt River Pima-Maricopa Indian Community Current Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1508303058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W UNIVERSITY DR",
            "address_2": "#1201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 WEST SEED FARM ROAD",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "85147",
            "telephone_number": "520-562-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-16587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacaton, AZ

Sources for this page

Verify at the official NPI Registry.