Active NPI
Brandi K Fulgham, MCP, LPC
- Counselor
- Cherokee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3694
- Practice address
- 405 S Oklahoma Ave
Cherokee, OK 73728-2545 - Phone
- (580) 596-2800
- Fax
- (580) 596-2805
- NPI assigned
- Nov 4, 2009
- Sex
- Female
- 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 | 3694 | OK | |
| Counselor | 101Y00000X | 3694 | OK | Primary |
Addresses
Primary practice location
405 S Oklahoma Ave
Cherokee, OK 73728-2545
Mailing address
405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone (580) 596-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240415000711 | OK | Practitioner - Mental Health Counselor | 7618316308 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Salt Plains Health Center, Inc. | Current | Accepting new patients | |
| Great Salt Plains Health Center, Inc. | Current | Accepting new patients | |
| Great Salt Plains Health Center, Inc. | Past | Accepting new patients |
Locations
310 E Walnut
Canton, OK 73724
Phone (580) 886-2200
405 S Oklahoma Ave
Cherokee, OK 73728
Phone 87724284756012
231 S 30th St
Enid, OK 73701
Phone (580) 233-2900
1106 E Broadway Ave
Enid, OK 73701
Phone (580) 886-2200
5320 W Chestnut Ave
Enid, OK 73703
Phone (580) 233-2900
619 N Front St
Medford, OK 73759
Phone (580) 395-3200
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Cherokee, OK
- NPI 1881876738
OK
-
- Federally Qualified Health Center (FQHC)
- Enid, OK
- NPI 1699564476
-
- Federally Qualified Health Center (FQHC)
- Enid, OK
- NPI 1952128431
-
- Federally Qualified Health Center (FQHC)
- Canton, OK
- NPI 1427593409
-
- Federally Qualified Health Center (FQHC)
- Enid, OK
- NPI 1245667732
-
- Federally Qualified Health Center (FQHC)
- Medford, OK
- NPI 1699025973
-
- Federally Qualified Health Center (FQHC)
- Enid, OK
- NPI 1740967785
-
- Federally Qualified Health Center (FQHC)
- Enid, OK
- NPI 1962245811
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Great Salt Plains Health Center Inc
Practice addresses (Care Compare)
231 S 30TH St
Enid, OK 73701-6455
Phone (580) 596-2800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1346577830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 S OKLAHOMA AVE",
"city": "CHEROKEE",
"state": "OK",
"postal_code": "737282545",
"telephone_number": "580-596-2800",
"fax_number": "580-596-2805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S OKLAHOMA AVE",
"city": "CHEROKEE",
"state": "OK",
"postal_code": "737282545",
"telephone_number": "580-596-2800",
"fax_number": "580-596-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULGHAM",
"first_name": "BRANDI",
"middle_name": "K",
"credential": "MCP, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3694",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "3694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherokee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.