Active NPI
Bethany L. Fulton, LPC
- Mental Health Counselor
- Athens, OH
National Provider Identifier
1477919199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C0800453
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0800453 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfully, LLC | Mental Health | Current | Accepting new patients |
| Mindfully, LLC | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.