Individual provider Active NPI

Victoria Lynn Evans-Fulton, LPC

  • Mental Health Counselor
  • Abingdon, VA
National Provider Identifier
1144950676
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701011564 Issued in VA
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

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0701011564VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evans-Fulton Assessment and Consultation, LLC CurrentSince Jun 21, 2022 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.

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.

Verify at the official NPI Registry.