Joshua Alan Medley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1906070 Issued in AR

Practice address

1219 Commerce Dr Ste 3
Mountain Home, AR 72653-2604

Phone

(870) 232-4273

Fax

(870) 345-1310

NPI assigned

Jan 10, 2014

Sex

Male

Sole proprietor

Yes

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.

• Joshua Medley Counseling PLLC

  • Professional Counselor
  • Mountain Home, AR
  • NPI 1801448840

  Professional

  NPD Authorized official
• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1770535569
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2020.

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1902228992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 COMMERCE DR STE 3",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532604",
            "telephone_number": "870-232-4273",
            "fax_number": "870-345-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 COMMERCE DR STE 3",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532604",
            "telephone_number": "870-232-4273",
            "fax_number": "870-345-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "JOSHUA",
        "middle_name": "ALAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1906070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James McNelley, MD
• Susan McNutt, PD
• Teresa McQuay
• Julia Meadows, PMHNP-BC
• Medexpress Urgent Care Arkansas, P.a.
• Medsense Health Chartered
• Cara Lynn Meisenheimer
• Joy Melick
• Richard R. Melick, MHPP
• Melissa Dirst-Roberts PLLC

• All providers in Mountain Home, AR
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.