Fulcrum Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FULCRUM COUNSELING SERVICES, LLC

Doing business as

Samuel Crouch

Practice address

11235 Davenport St Ste 103H
Omaha, NE 68154-2690

Phone

(308) 225-0500

Fax

(308) 365-6848

NPI assigned

Oct 8, 2018

Last updated

Jun 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel William CrouchNPI 1619452943

Title

Owner

Phone

(308) 225-0500

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Samuel Crouch Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

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.

• Samuel William Crouch, PLADC

  • Mental Health Counselor
  • Scottsbluff, NE
  • NPI 1619452943

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Lacey Fleeman, PLMHP

  • Mental Health Counselor
  • Scottsbluff, NE
  • NPI 1508640095
  NPD

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1215402151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11235 DAVENPORT ST STE 103H",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542690",
            "telephone_number": "308-225-0500",
            "fax_number": "308-365-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11235 DAVENPORT ST STE 103H",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542690",
            "telephone_number": "308-225-0500",
            "fax_number": "308-365-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULCRUM COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-225-0500"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026769300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53611285605",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samuel Crouch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samuel Crouch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Fugitt
• Kristen Fuglestad Eckmann, PT
• Matthew Anders Fuglestad, M.D.
• Wade Fujiwara
• Destiny Fulcher
• Full Circle Speech, LLC
• Daireonte Fuller-Lee
• Alecia Cassandra Fuller
• Amber Amelia Fuller, APRN
• Ashley Fuller

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.