Renee Fulmer Daughtry, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3485 Issued in AL

Practice address

315 N 3Notch St
Troy, AL 36081-2021

Phone

(334) 372-0346

Fax

(256) 701-6926

NPI assigned

Jan 22, 2019

Last updated

Jul 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 1, 2024 through Mar 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R.F. Daughtry Counseling Services, LLC

  • Professional Counselor
  • Troy, AL
  • NPI 1861983298
  NPD (past) Authorized official

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1528522778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 HENDERSON HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360798223",
            "telephone_number": "334-372-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3NOTCH ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812021",
            "telephone_number": "334-372-0346",
            "fax_number": "256-701-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTRY",
        "first_name": "RENEE",
        "middle_name": "FULMER",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1861983298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Cox, PHD, LMSW
• Mackenzie Renee Crayton
• Cherise Renee Crisman, ATC
• Ella Faith Cutts
• Hogan-Hall Stone Darby, MS, LPC
• Leigh Anne Davis, RN
• Mia Alexus Davis, LMSW
• Elizabeth N Dawson, MD
• Sofia Diaz Martinez, ATL, LAT
• Akyja C Dix

• Professional Counselor in Troy, AL
• Providers in Troy, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.