Individual provider Active NPI

Sharon Rhonda Fulcher-Estes, LPC-S

  • Professional Counselor
  • Bedford, TX
National Provider Identifier
1518403138
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18532 Issued in TX
Practice address
209 N Industrial Blvd
Suite 237
Bedford, TX 76021-6128
Phone
(817) 571-4110
NPI assigned
Jan 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18532 TX Primary

Addresses

Primary practice location

209 N Industrial Blvd
Suite 237
Bedford, TX 76021-6128

Mailing address

3821 Plum Vista PL
Arlington, TX 76005-4505
Phone (817) 939-5077

Other names 1

  • Sharon Rhonda Fulcher-Tatom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18532TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rim Endeavors, LLC Professional Current Accepting new patients

Locations

209 N Industrial Blvd
Ste 237
Bedford, TX 76021
Phone (817) 571-4110

2321 Mustang Dr
Ste 100
Grapevine, TX 76051
Phone (682) 233-4325

Organizations & group practices 1

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": "1483747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1518403138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 PLUM VISTA PL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760054505",
            "telephone_number": "817-939-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N INDUSTRIAL BLVD",
            "address_2": "SUITE 237",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216128",
            "telephone_number": "817-571-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULCHER-ESTES",
        "first_name": "SHARON",
        "middle_name": "RHONDA",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-07",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "FULCHER-TATOM",
            "middle_name": "RHONDA",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.