JOSHUA CALEB MABRAY – Mental Health Counselor, NPI 1730564519

JOSHUA CALEB MABRAY is a healthcare provider. based in Roseburg, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. C6624 (OR). The NPI Number for JOSHUA CALEB MABRAY is 1730564519

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA CALEB MABRAY
NPI
1730564519
Phone
(541) 677-7200
Address
1937 W HARVARD AVE
Enumeration Date
22 July 2015
Last Update Date
19 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416777200
Graduation Year
2015 (11 years ago)
PAC ID
0345690426
Group Practice PAC ID
3870485139
Professional Enrollment ID
I20240102002984
Address ID
OR974716214RO2570XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for JOSHUA CALEB MABRAY

  • 1937 W HARVARD AVE

    ROSEBURG, OR 974712720

    Phone: (541) 677-7200

    Fax: (541) 229-3309

    Type: Location

  • 1101 E WASHINGTON AVE

    MCALESTER, OK 745014919

    Phone: (918) 420-5006

    Type: Mailing

  • 2570 NW EDENBOWER BLVD STE 100

    ROSEBURG, OR 974716214

    Phone: (541) 677-7200

    Fax: (541) 229-3309

    Type: Mailing

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: 2024-01-02

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
I20240102002984IMental Health CounselorORTBD

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 97471)

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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: 3870485139View full group profile
NameSpecialtyState
Family PracticeOR
Family PracticeOR
Internal Medicine, Pediatric Medicine, EndocrinologyOR
Mental Health CounselorOR
Family PracticeOR
Internal MedicineOR
Family PracticeOR
Family PracticeOR
Family PracticeOR
Mental Health CounselorOR

Reviews

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Frequently asked questions

What is JOSHUA CALEB MABRAY's NPI number?
JOSHUA CALEB MABRAY's NPI is 1730564519 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JOSHUA CALEB MABRAY?
You should see JOSHUA CALEB MABRAY as active in CMS-hosted NPPES data.
What clinical focus is listed for JOSHUA CALEB MABRAY?
At a glance, JOSHUA CALEB MABRAY is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOSHUA CALEB MABRAY?
Travel planning: use Roseburg, Oregon as the reference point for JOSHUA CALEB MABRAY, then confirm.
When was this NPI issued?
Enumeration for JOSHUA CALEB MABRAY is noted as July 22, 2015 where the registry provides it.

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