Individual provider Active NPI

Julianne Kay Folsom, ARNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1629691225
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11007968 Issued in FL
Practice address
3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277
Phone
(850) 999-2996
Fax
(850) 536-6439
NPI assigned
May 19, 2020
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 790975 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN10025714 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61504381 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0040772 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11007968 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10018623 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 123961 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11007968 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4045010 KY

Addresses

Primary practice location

3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277

Mailing address

3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277
Phone (850) 999-2996

Other practice location 1

3510 Steelhammer Dr
Centralia, WA 98531-1532
Phone (360) 623-8020

Other practice location 2

4002 S M St
Tacoma, WA 98418-3800
Phone (850) 999-2996

Other identifiers 1

IdentifierTypeStateIssuer
11007968OtherFLDEPARTMENT OF HEALTH LICENSE NUMBER

Other names 1

  • Julianne Fountain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117000228 FL Practitioner - Nurse Practitioner 4082025440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3606 Maclay Blvd S
Suite 102
Tallahassee, FL 32312-1277
Phone (850) 999-2996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11007968FLMDPsychiatric/Mental Health Nurse Practitioner
APRN11007968FLMDPsychiatric/Mental Health Nurse Practitioner
4045010KYMDPsychiatric/Mental Health Nurse Practitioner
RN10025714MAMDPsychiatric/Mental Health Nurse Practitioner
790975NYMDPsychiatric/Mental Health Nurse Practitioner
0040772OHMDPsychiatric/Mental Health Nurse Practitioner
10018623ORMDPsychiatric/Mental Health Nurse Practitioner
AP61504381WAMDPsychiatric/Mental Health Nurse Practitioner
123961WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Jul 1, 2021 Accepting new patients
Lifespan Psychiatric Services, LLC CurrentSince Jun 23, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Bay Hill Psychiatric Associates LLC PastSince May 1, 2020 Accepting new patients
Cascade Community Healthcare Past Accepting new patients
Cascade Evaluation and Treatment Center Past Accepting new patients
Florida First Psychiatry Specialist LLC PastSince Nov 30, 2020 Accepting new patients

Locations

1618 Mahan Center Blvd
Ste 103
Tallahassee, FL 32308
Phone (850) 999-2996

3606 Maclay Blvd S
Ste 102
Tallahassee, FL 32312
Phone (850) 877-1162

4012 Kelcey Ct
Ste 201
Tallahassee, FL 32308
Phone (850) 725-5563

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1629691225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MACLAY BLVD S STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121277",
            "telephone_number": "850-999-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MACLAY BLVD S STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121277",
            "telephone_number": "850-999-2996",
            "fax_number": "850-536-6439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3510 Steelhammer Dr",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985311532",
            "country_code": "US",
            "telephone_number": "360-623-8020",
            "fax_number": "850-623-1083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4002 S M St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984183800",
            "country_code": "US",
            "telephone_number": "850-999-2996",
            "fax_number": "850-539-9436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "JULIANNE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "ARNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "790975",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN10025714",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61504381",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0040772",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11007968",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10018623",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "123961",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11007968",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4045010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH LICENSE NUMBER",
            "identifier": "11007968",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANNE",
            "last_name": "FOUNTAIN",
            "credential": "APRN, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.