JOSHUA PURSIFULL (M.S. L.A.C.) – Mental Health Counselor, NPI 1003110420

JOSHUA PURSIFULL (M.S. L.A.C.) is a healthcare provider. based in Batesville, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.S. L.A.C.. They hold a License No. A1103025 (AR). The NPI Number for JOSHUA PURSIFULL (M.S. L.A.C.) is 1003110420

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA PURSIFULL (M.S. L.A.C.)
NPI
1003110420
Phone
(870) 793-8900
Address
PO BOX 2578
Enumeration Date
28 December 2010
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702047488
Graduation Year
2010 (16 years ago)
PAC ID
4385097344
Group Practice PAC ID
7214833730
Professional Enrollment ID
I20240126000988
Address ID
AR726013629HA107XXAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

Provider Addresses for JOSHUA PURSIFULL (M.S. L.A.C.)

  • PO BOX 2578

    BATESVILLE, AR 725032578

    Phone: (870) 793-8900

    Fax: (870) 793-8959

    Type: Mailing

  • 1716 W SEARCY ST

    HEBER SPRINGS, AR 725433532

    Phone: (870) 793-8900

    Fax: (870) 793-8959

    Type: Location

  • PO BOX 497

    AUGUSTA, AR 720060497

    Phone: (870) 347-2534

    Type: Mailing

  • 1301 HIGHWAY 62 E

    MOUNTAIN HOME, AR 726532708

    Phone: (870) 970-7140

    Fax: (870) 701-3181

    Type: Location

  • 1716 W Searcy St

    Heber Springs, AR 725433532

    Phone: (870) 793-8900

    Fax: (870) 793-8959

    Type: Location

  • 1405 Highway 62 W

    Mountain Home, AR 726534616

    Phone: (870) 706-3421

    Fax: (870) 706-3450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240126000988IMental Health CounselorARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214833730View full group profile
NameSpecialtyState
Clinical Social WorkerAR
-AR
Clinical Social WorkerAR
-AR
-AR
-AR
Mental Health CounselorAR
Clinical Social WorkerAR
Mental Health CounselorAR
Nurse PractitionerKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOSHUA PURSIFULL (M.S. L.A.C.)?
JOSHUA PURSIFULL (M.S. L.A.C.) — NPI 1003110420 — is the standard way to identify this listing.
Is JOSHUA PURSIFULL (M.S. L.A.C.) listed as active for patients and plans?
The listing shows JOSHUA PURSIFULL (M.S. L.A.C.) as active in the NPI system.
What is JOSHUA PURSIFULL (M.S. L.A.C.)'s primary classification?
Mental Health Counselor is the headline specialty for JOSHUA PURSIFULL (M.S. L.A.C.) here. Clinical services aligned with this taxonomy classification.
What address line appears for JOSHUA PURSIFULL (M.S. L.A.C.)?
JOSHUA PURSIFULL (M.S. L.A.C.)'s geographic hint is Batesville, Arkansas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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