Individual provider Active NPI

Rachael Fulton, LPCA

  • Professional Counselor
  • Southbury, CT
National Provider Identifier
1427764737
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6492 Issued in CT
Practice address
11 E Meadow Rd
Southbury, CT 06488-1633
Phone
(203) 509-4521
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6492 CT Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

11 E Meadow Rd
Southbury, CT 06488-1633

Mailing address

11 E Meadow Rd
Southbury, CT 06488-1633
Phone (203) 509-4521

Other practice location 1

519 Heritage Rd Ste 2A5
Southbury, CT 06488-6694
Phone (203) 568-5923

Other practice location 2

26 North St Uppr Level
Roxbury, CT 06783-9992
Phone (470) 681-0177

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southbury Adolescent and Young Adult Counseling Center Professional PastSince Dec 1, 2023 Accepting new patients

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1427764737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E MEADOW RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881633",
            "telephone_number": "203-509-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E MEADOW RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881633",
            "telephone_number": "203-509-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 Heritage Rd Ste 2A5",
            "address_purpose": "LOCATION",
            "city": "Southbury",
            "state": "CT",
            "postal_code": "064886694",
            "country_code": "US",
            "telephone_number": "203-568-5923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 North St Uppr Level",
            "address_purpose": "LOCATION",
            "city": "Roxbury",
            "state": "CT",
            "postal_code": "067839992",
            "country_code": "US",
            "telephone_number": "470-681-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTON",
        "first_name": "RACHAEL",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "6492",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.