JOSHUA LEE FANCHER LPCC
NPI 1508456591
Counselor - Professional in Coon Rapids, MN

Q: What is Joshua Fancher's NPI number?

The NPI number for Joshua Fancher is 1508456591. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Q: What is Joshua Fancher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Fancher was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment

11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433(763) 767-3350(763) 767-0912 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 11, 2026, Feb 9, 2023, Jan 22, 2021 (3 updates tracked since 2021).

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About Joshua Lee Fancher Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSHUA LEE FANCHER LPCC (NPI 1508456591) is an individual professional provider in Coon Rapids, Minnesota, licensed in Minnesota (4936) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508456591

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJOSHUA LEE FANCHERCredential: LPCC

Location Address11660 ROUND LAKE BLVD NWCoon Rapids, MN 55433-2638

Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411

Phone(763) 767-3350

Fax(763) 767-0912

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 22, 2021

Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1508456591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 4936

11660 ROUND LAKE BLVD NW, Coon Rapids, MN 55433

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joshua Lee Fancher Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244714863

PECOS Enrollment IDI20260323000348

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH EILTS

Social Worker (Clinical)