Joshua Johnson, PCC, LICDC-CS
NPI 1417304007ActiveIndividual· Counselor, Mental Health· Fairfield, OH
Counselor, Mental Health (PCC, LICDC-CS) with Mindfully LLC, practicing in Fairfield, Ohio. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1417304007 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PCC, LICDC-CS |
| Sole proprietor | No |
| NPI issued | May 24, 2016 |
| Last updated in NPPES | Apr 18, 2024 |
| Certified by provider | Apr 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | E.1100276 | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 121100-CS | OH |
| Counselor, Professional | 101YP2500X | 172761 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OH) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Mindfully LLCDenver, CO · 62 clinicians
Other Counselor, Mental Health providers in Fairfield
- 1518507201
- 1710669106
- 1346125028
- 1265337158
- 1669020533
- 1669810925
- 1093278525
- 1467864249
- 1386984524
- 1669916789
- 1740789148
- 1831358241