Individual provider Active NPI

Joe William Gladden II, M.S., LPCC, LMHC

  • Professional Counselor
  • Anthem, AZ
National Provider Identifier
1639397003
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19625 Issued in AZ
Practice address
41748 N Iron Horse Dr
Anthem, AZ 85086-4923
Phone
(480) 800-8664
Fax
(480) 716-9161
NPI assigned
Apr 23, 2007
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 9067 FL
Professional Counselor 101YP2500X 00133 CA
Professional Counselor 101YP2500X 19625 AZ Primary

Addresses

Primary practice location

41748 N Iron Horse Dr
Anthem, AZ 85086-4923

Mailing address

41748 N Iron Horse Dr
Anthem, AZ 85086-4923
Phone (480) 765-4825

Other identifiers 3

IdentifierTypeStateIssuer
MH 9067OtherFLLMHC
00133OtherCABOARD OF BEHAVIORAL SCIENCES
LPC-19625OtherAZAZ STATE BOARD OF BEHAVIORAL HEALTH EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, FL, MA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20241206003342 CA Practitioner - Mental Health Counselor 0547796054 Reassigns benefits to 1 organization
I20241210000807 AZ Practitioner - Mental Health Counselor 0547796054 Reassigns benefits to 1 organization
I20241213003208 FL Practitioner - Mental Health Counselor 0547796054 Reassigns benefits to 1 organization
I20250627001233 MA Practitioner - Mental Health Counselor 0547796054 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH 9067FLMDMental Health Counselor
19625AZMDProfessional Counselor
00133CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Nov 15, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 6, 2024 Accepting new patients
Birch Lake Professional Counseling Group, Inc. Professional Past Accepting new patients

Locations

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

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

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

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1639397003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41748 N IRON HORSE DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864923",
            "telephone_number": "480-765-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41748 N IRON HORSE DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864923",
            "telephone_number": "480-800-8664",
            "fax_number": "480-716-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADDEN",
        "first_name": "JOE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "M.S., LPCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-11-16",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9067",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "00133",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "19625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH 9067",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "00133",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-19625",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.