Individual provider Active NPI

Bethany L. Fulton, LPC

  • Mental Health Counselor
  • Athens, OH
National Provider Identifier
1477919199
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C0800453 Issued in OH
Practice address
530 W Union St Ste D
Athens, OH 45701-8303
Phone
(740) 591-6352
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C0800453 OH Primary

Addresses

Primary practice location

530 W Union St Ste D
Athens, OH 45701-8303

Mailing address

530 W Union St Ste D
Athens, OH 45701-8303
Phone (740) 591-6352

Other names 1

  • Beth L Fulton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304001525 OH Practitioner - Mental Health Counselor 4789029406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0800453OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully, LLC Mental Health CurrentSince Jan 17, 2024 Accepting new patients
Mindfully, LLC Mental Health CurrentSince Jan 17, 2024 Accepting new patients

Locations

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

11565 Pearl Rd
Ste 200
Strongsville, OH 44136
Phone (440) 846-0862

Organizations & group practices 2

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1477919199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W UNION ST STE D",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457018303",
            "telephone_number": "740-591-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W UNION ST STE D",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457018303",
            "telephone_number": "740-591-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "BETHANY",
        "middle_name": "L.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0800453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "FULTON",
            "middle_name": "L",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.