Joshua Michael Edwards, PHD, LPC, LMHC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4570 Issued in CT

Practice address

242 Moody Rd
Enfield, CT 06082-3221

Phone

(502) 554-4409

NPI assigned

Jan 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Skyward Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Enfield, CT
  • NPI 1376329797
  NPD Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1942840244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 MOODY RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823221",
            "telephone_number": "502-554-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MOODY RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823221",
            "telephone_number": "502-554-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11955",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "73872",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Echn Johnson Home and Community Health Service, Inc.
• Echn Johnson Home and Community Health Services, Inc.
• Echn Johnson Home and Community Health Services, Inc.
• Edward H Benjamin MD PC
• Alexsis L Edwards
• Keri Lynn Egan
• Elizabeth Honey LMFT LLC
• Brooke Juliette Ellis, OTD, OTR/L
• Scott Elms, PT
• Eman Elsayed

• Professional Counselor in Enfield, CT
• Providers in Enfield, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.