Active NPI
Victoria Lynn Evans-Fulton, LPC
- Mental Health Counselor
- Abingdon, VA
National Provider Identifier
1144950676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701011564
- Practice address
- 26108 Beech Cir
Abingdon, VA 24211-7262 - Phone
- (276) 207-8321
- Fax
- (888) 548-4146
- NPI assigned
- Jun 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701011564 | VA | Primary |
Addresses
Primary practice location
26108 Beech Cir
Abingdon, VA 24211-7262
Mailing address
PO Box 544
Abingdon, VA 24212-0544
Phone (276) 477-4174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011564 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans-Fulton Assessment and Consultation, LLC | Current | Accepting new patients |
Locations
966 W Main St
Abingdon, VA 24210
Phone (276) 207-8321
966 W Main St
Ste 1
Abingdon, VA 24210
Phone (276) 207-8321
271 Valley St NE
Abingdon, VA 24210
Phone (276) 200-4986
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Abingdon, VA
- NPI 1134850548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1144950676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 544",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242120544",
"telephone_number": "276-477-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26108 BEECH CIR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117262",
"telephone_number": "276-207-8321",
"fax_number": "888-548-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS-FULTON",
"first_name": "VICTORIA",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-16",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701011564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.