MEDICARE: JOSHUA GABRIEL JOSEPH MS, LPC, LMHC

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	101YM0800X	Mental Health Counselor	MH17435	FL
2	101YM0800X	Mental Health Counselor	LPC.0018907	CO

General Provider Information

NPI Number	:	1679072912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA GABRIEL JOSEPH MS, LPC, LMHC

Provider Business Mailing Address
First Line	:	300 BOARDWALK DR UNIT 5A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3093
Country	:	US
Telephone Number	:	970-281-5104
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 BOARDWALK DR UNIT 5A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3093
Country	:	US
Telephone Number	:	970-281-5104
Fax Number	:

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

Provider Enumeration Date	:	02/01/2018
Last Update Date	:	08/12/2024

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