NPIMap

Organization Active NPI

Jessica Landry Fultz, LCSW, LLC

  • Community/Behavioral Health Agency
  • Marksville, LA
National Provider Identifier
1134522253
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11307 Issued in LA
Legal business name
JESSICA LANDRY FULTZ, LCSW, LLC
Practice address
221 N Monroe St
Suite B
Marksville, LA 71351-2311
Phone
(318) 305-9210
NPI assigned
Oct 2, 2014
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Mrs. Jessica Landry Fultz, LCSWNPI 1417264169
Title
LCSW
Phone
(318) 305-9210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11307 LA Primary

Addresses

Primary practice location

221 N Monroe St
Suite B
Marksville, LA 71351-2311

Mailing address

PO Box 65
Hessmer, LA 71341-0065
Phone (318) 305-9210

National Provider Directory

National Provider Directory

Locations

221 N Monroe St
Ste B
Marksville, LA 71351
Phone (318) 305-9210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1134522253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "HESSMER",
            "state": "LA",
            "postal_code": "713410065",
            "telephone_number": "318-305-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N MONROE ST",
            "address_2": "SUITE B",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512311",
            "telephone_number": "318-305-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA LANDRY FULTZ, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "FULTZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LANDRY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "318-305-9210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "11307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.