Alfreda Maria Fulton, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LAC-5077 Issued in LA

Practice address

2235 Poydras St Ste a
New Orleans, LA 70119-7561

Phone

(504) 814-8001

Fax

(504) 814-8002

NPI assigned

May 7, 2019

Last updated

Nov 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Journey on the Bayou

  dba Journey

  • Addiction (Substance Use Disorder) Counselor
  • Gonzales, LA
  • NPI 1407561533
  NPD Authorized official
• Baton Rouge Treatment Center, LLC

  • Methadone Clinic
  • Baton Rouge, LA
  • NPI 1558401331
  NPD (past)

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1609431428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE CREED GROUP OF LA",
            "address_2": "2235-A POYDRAS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-814-8001",
            "fax_number": "504-814-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 POYDRAS ST STE A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197561",
            "telephone_number": "504-814-8001",
            "fax_number": "504-814-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "ALFREDA",
        "middle_name": "MARIA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2021-11-17",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC-5077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Fuerst
• Andrew Paul Komonaka Fuglestad, MD
• George M Fuhrman, M.D.
• Sana Fujimura, MD
• Mark Makoto Fujita, M.D.
• Conchetta White Fulton, PHARM.D., RPH.
• Gregory Kyle Fulton, M.D.
• Caroline Fulwyler
• Ledell Funches
• Martina Funches

• Addiction (Substance Use Disorder) Counselor in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.