Individual provider Active NPI

Joshua Reza Mehdikhan, BH LPC

  • Mental Health Counselor
  • Chandler, AZ
National Provider Identifier
1720549389
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-17939 Issued in AZ
Practice address
3140 N Arizona Ave Ste 113
Chandler, AZ 85225-7167
Phone
(480) 497-4040
Fax
(480) 497-4041
NPI assigned
Mar 27, 2019
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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 LPC-17939 AZ Primary

Addresses

Primary practice location

3140 N Arizona Ave Ste 113
Chandler, AZ 85225-7167

Mailing address

4625 S Ash Ave Ste J-2
Tempe, AZ 85282-6761
Phone (480) 722-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250816000120 TX Practitioner - Mental Health Counselor 5799284741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 2754
Chandler, AZ 85244-2754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-17939AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Youth Homes CurrentSince Apr 6, 2025 Accepting new patients
New Horizon Youth Homes, Inc. Mental Health CurrentSince Jun 28, 2025 Accepting new patients

Locations

4625 S Ash Ave
Ste J-2
Tempe, AZ 85282
Phone (480) 529-7617

1643 Falcon Dr
Desoto, TX 75115
Phone (469) 397-3346

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, 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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1720549389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 S ASH AVE STE J-2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826761",
            "telephone_number": "480-722-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 N ARIZONA AVE STE 113",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257167",
            "telephone_number": "480-497-4040",
            "fax_number": "480-497-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDIKHAN",
        "first_name": "JOSHUA",
        "middle_name": "REZA",
        "name_prefix": "Mr.",
        "credential": "BH LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-17939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.