Forest Path Counseling & Wellness Lisa Fulfor PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FOREST PATH COUNSELING & WELLNESS LISA FULFOR PLLC

Practice address

8105 Rasor Blvd Ste 225
Plano, TX 75024-0265

Phone

(214) 316-0924

NPI assigned

Feb 25, 2019

Organization subpart

No

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

Authorized official

Name

Lisa Fulfor, LCSWNPI 1649747205

Title

Owner

Phone

(214) 316-0924

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Kim Fulfor, LCSW

  • Clinical Social Worker
  • Allen, TX
  • NPI 1649747205
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1417414525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13254 LIME RIDGE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330938",
            "telephone_number": "214-316-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 225",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240265",
            "telephone_number": "214-316-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PATH COUNSELING & WELLNESS LISA FULFOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "FULFOR",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-316-0924",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Ford
• Walter Joe Ford Jr., DC
• Amber Dawn Foreman, PSYD
• Cristi Lee Foreman
• Forest Gate Hospice, Inc. (Bright Star Hospice Care)
• Forever Fit
• Jessica Kim Forge, NP
• Tu Cam Bui Forkner
• Erin Brooks Forman, FNP-BC, FNP-C
• Formosa Anesthesia PLLC

• Clinical Social Worker in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.