Shonda Fulwood-Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1068 S Lake Dr
Lexington, SC 29073-3720

Phone

(803) 726-9417

NPI assigned

Aug 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Right Path Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1184925281
  Medicare reassignment NPD
• Right Path Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Pensacola, FL
  • NPI 1790501146
  NPD
• Right Path Behavioral Health Services, LLC.

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1255139838
  NPD

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1518334325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290733720",
            "telephone_number": "803-726-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290733720",
            "telephone_number": "803-726-9417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3027 San Diego Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322073691",
            "country_code": "US",
            "telephone_number": "904-652-4391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULWOOD-JOHNSON",
        "first_name": "SHONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Frierson
• Courtney Frye
• Larry Benjaman Frye, HAS
• Susan Fuller, LPC-A
• Laura Regina Fulton, LPC
• Future Steps Pediatrics LLC
• Claire Giselle Fuziol Jones, BA, MA, LPC-I
• Amber Rae Gadow, PT, DPT
• Chudney Gadson, LPC-I
• Megan Gadson

• Mental Health Counselor in Lexington, SC
• Providers in Lexington, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.

Verify at the official NPI Registry.