Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joshua Johnson, PCC, LICDC-CS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417304007

Joshua Johnson, PCC, LICDC-CS is a Mental Health Counselor in Fairfield, Ohio. Qualified in 2012, 14 years ago. Practices with Mindfully LLC, a 66-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
14
Licensed in
KY, OH
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1251 Nilles Rd Ste 5
Fairfield, OH 45014
Phone: (513) 939-0300
Fax: (513) 939-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2828 Vernon Pl, Cincinnati, OH 45219-2414 — (513) 281-7880
  • 2828 Vernon Pl, Cincinnati, OH 45219-2414 — (513) 281-7880

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.1100276 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 121100-CS (OH)
Professional Counselor Taxonomy 101YP2500X · Licence 172761 (KY)

Record details

NPI number1417304007
Entity typeIndividual (Type 1)
GenderMale
Credentials PCC , LICDC-CS
Sole proprietorNo
NPI enumeratedMay 24, 2016
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mindfully Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairfield