Individual provider Active NPI

Megan Fulmer, LPC

  • Professional Counselor
  • Manheim, PA
National Provider Identifier
1073982336
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
108 S Main St
Manheim, PA 17545-1602
Phone
(717) 665-2675
NPI assigned
Sep 16, 2015
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

108 S Main St
Manheim, PA 17545-1602

Mailing address

6304 Bayberry Ave
Manheim, PA 17545-9026
Phone (717) 669-5184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118004519 PA Practitioner - Mental Health Counselor 3870945454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Pennsylvania State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Health Affiliates LLCGroup PAC ID 5698781672, 7 clinicians

Practice addresses (Care Compare)

934 E Chocolate Ave
Hershey, PA 17033-1215
Phone (717) 665-2675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Therapy, LLC CurrentSince Nov 5, 2023 Accepting new patients
Psychological Health Affiliates LLC Professional CurrentSince Jan 9, 2024 Accepting new patients

Locations

934 E Chocolate Ave
Hershey, PA 17033
Phone (717) 531-3398

108 S Main St
Manheim, PA 17545
Phone (717) 964-8897

15 Market Sq
Manheim, PA 17545
Phone (717) 665-9118

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1073982336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 BAYBERRY AVE",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175459026",
            "telephone_number": "717-669-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175451602",
            "telephone_number": "717-665-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "MEGAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2023-11-03",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manheim, PA

Sources for this page

Verify at the official NPI Registry.