Active NPI
James Phillip Fulton, LADC
- Addiction (Substance Use Disorder) Counselor
- Shelton, CT
National Provider Identifier
1225796089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1546
- Practice address
- 2 Trap Falls Rd
Shelton, CT 06484-4616 - Phone
- (203) 816-6424
- NPI assigned
- Nov 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5275 | CT | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1546 | CT | Primary |
Addresses
Primary practice location
2 Trap Falls Rd
Shelton, CT 06484-4616
Mailing address
2 Trap Falls Rd
Shelton, CT 06484-4616
Phone (203) 816-6424
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfulton@progressive-institute.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 1546 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 5275 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1225796089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844616",
"telephone_number": "203-816-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844616",
"telephone_number": "203-816-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "JAMES",
"middle_name": "PHILLIP",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-29",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "5275",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "1546",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfulton@progressive-institute.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2 Trap Falls Rd",
"city": "Shelton",
"state": "CT",
"country_code": "US",
"postal_code": "064844616",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.