Individual provider Active NPI

Joshua Kee Simpson, LISAC

  • Addiction (Substance Use Disorder) Counselor
  • Gilbert, AZ
National Provider Identifier
1821625740
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC-15149 Issued in AZ
Practice address
1515 N Gilbert Rd Ste 107
#114
Gilbert, AZ 85234-2504
Phone
(480) 395-2347
NPI assigned
Mar 23, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-15149 AZ Primary

Addresses

Primary practice location

1515 N Gilbert Rd Ste 107
#114
Gilbert, AZ 85234-2504

Mailing address

1515 N Gilbert Rd Ste 107
#114
Gilbert, AZ 85234-2504
Phone (480) 395-2347

Other practice location 1

560 S Bellview
Mesa, AZ 85204-2504
Phone (480) 962-7711

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

LicenseStateTypeSpecialty
LISAC-15149AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Simpson Lisac PLLC CurrentSince Dec 6, 2020 Accepting new patients

Locations

1515 N Gilbert Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 395-2347

Interoperability endpoints

  • Direct secure messaging: resourcehealthcare.joshuasimpson@155568.advancedmd-direct.com

Organizations & group practices 1

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1821625740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N GILBERT RD STE 107",
            "address_2": "#114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342504",
            "telephone_number": "480-395-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N GILBERT RD STE 107",
            "address_2": "#114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342504",
            "telephone_number": "480-395-2347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 S Bellview",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852042504",
            "country_code": "US",
            "telephone_number": "480-962-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JOSHUA",
        "middle_name": "KEE",
        "credential": "LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-15149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.