MEDICARE: JOSHUA JOHN REISH LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT-15553	AZ
2	106H00000X	Marriage & Family Therapist	LMFT110969	CA

General Provider Information

NPI Number	:	1255623336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA JOHN REISH LMFT

Provider Business Mailing Address
First Line	:	2301 E UNIVERSITY DR UNIT 154
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85213-8342
Country	:	US
Telephone Number	:	714-225-8998
Fax Number	:

Provider Business Practice Location Address
First Line	:	2753 EAST BROADWAY ROAD
Second Line	:	SUITE 101, BOX 466
City	:	MESA
State	:	AZ
Zip	:	85204
Country	:	US
Telephone Number	:	714-225-8998
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2011
Last Update Date	:	07/11/2025

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