Kelley Fulkerson Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KELLEY FULKERSON COUNSELING, LLC

Practice address

2817 Veach Rd
Owensboro, KY 42303-6252

Phone

(270) 240-5312

Fax

(270) 495-4305

NPI assigned

Nov 7, 2023

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelley Fulkerson, LCSWNPI 1578942140

Title

LCSW

Phone

(270) 240-5312

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelley Fulkerson, LCSW

  • Clinical Social Worker
  • Owensboro, KY
  • NPI 1578942140
  Authorized official Same address or phone

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1487427894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 VEACH RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036252",
            "telephone_number": "270-240-5312",
            "fax_number": "270-495-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 VEACH RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036252",
            "telephone_number": "270-240-5312",
            "fax_number": "270-495-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY FULKERSON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "FULKERSON",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "270-240-5312",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Denice Kellems, LPN
• Brenda Keller, OT
• John A Keller, CRNA
• Natalie Renee Keller, RDN, LD, CD
• Sarah F. Keller, APRN
• Michael Bryant Kelley, M.D.
• Julia Elaine Kennedy, PHARM.D., R.PH.
• Robert Leslie Kennedy, PHARM.D., R.PH.
• Kentuciana Hearing AIDS, Inc
• Kentuckiana Heart & Vascular Specialists PSC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.