Active NPI
Carolyn W Fulmore, LPC
- Mental Health Counselor
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7017
- Practice address
- 115 Atrium Way Ste 221
Columbia, SC 29223-6383 - Phone
- (843) 501-1099
- Fax
- (803) 699-8824
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 7017 | SC | Primary |
Addresses
Primary practice location
115 Atrium Way Ste 221
Columbia, SC 29223-6383
Mailing address
115 Atrium Way Ste 221
Columbia, SC 29223-6383
Phone (803) 699-8887
Other practice location 1
122 Latimer St
Latta, SC 29565-1828
Phone (843) 627-6252
Other practice location 2
1430 S Cashua Dr
Florence, SC 29501-6323
Phone (843) 673-0660 ext. 228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC2070 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Atrium Way
Suite 221
Columbia, SC 29223-6383
Phone (843) 501-1099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7017 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caresouth Carolina, Inc. | Current | Accepting new patients | |
| Caresouth Carolina, Inc | Current | Accepting new patients | |
| Wright Directions, LLC | Mental Health | Past | Accepting new patients |
| Caresouth Carolina Inc | Past | Accepting new patients |
Locations
545 Sumter Hwy
Bishopville, SC 29010
Phone (803) 484-5317
1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422
122 Latimer St
Latta, SC 29565
Phone (843) 627-6252
737 S Main St
Society Hill, SC 29593
Phone (843) 378-3000
Organizations & group practices 5
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.
-
- Mental Health Counselor
- Mount Pleasant, SC
- NPI 1316375678
-
- Federally Qualified Health Center (FQHC)
- Hartsville, SC
- NPI 1720082571
-
- Federally Qualified Health Center (FQHC)
- Society Hill, SC
- NPI 1194763714
-
- Federally Qualified Health Center (FQHC)
- Latta, SC
- NPI 1972980621
-
- Community/Behavioral Health Agency
- Ridgeland, SC
- NPI 1629361217
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1487766549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ATRIUM WAY STE 221",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236383",
"telephone_number": "803-699-8887",
"fax_number": "803-699-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ATRIUM WAY STE 221",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236383",
"telephone_number": "843-501-1099",
"fax_number": "803-699-8824"
}
],
"practiceLocations": [
{
"address_1": "122 Latimer St",
"address_purpose": "LOCATION",
"city": "Latta",
"state": "SC",
"postal_code": "295651828",
"country_code": "US",
"telephone_number": "843-627-6252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1430 S Cashua Dr",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295016323",
"country_code": "US",
"telephone_number": "843-673-0660 x228",
"fax_number": "843-679-5666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULMORE",
"first_name": "CAROLYN",
"middle_name": "W",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "7017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC2070",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.