Devon Nicole Fults, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65305 Issued in TX

Practice address

7980 Anchor Drive
Building 500
Port Arthur, TX 77642-8285

Phone

(409) 727-6400

Fax

(409) 727-6403

NPI assigned

Aug 2, 2011

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

Other names 1

• Miss Devon Nicole Frakes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Samaritan Counseling Center of Southeast Texas

  • Counselor
  • Port Arthur, TX
  • NPI 1316909799
  NPD (past)

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1699053124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DRIVE",
            "address_2": "BUILDING 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428285",
            "telephone_number": "409-727-6400",
            "fax_number": "409-727-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DRIVE",
            "address_2": "BUILDING 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428285",
            "telephone_number": "409-727-6400",
            "fax_number": "409-727-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTS",
        "first_name": "DEVON",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "FRAKES",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Dianne Ford, FNP-C
• Charles D Foutz, MD
• Lindsey Taylor Fowler, PA
• Sean Edward Franklin, D.MIN., LPC
• Raymond Fuentes, AGPCNP-C
• Joshua W Fults, M.A., LPC
• Madison Paige Fuston, DDS
• Anthony O. Gambrah Sampaney, MD. FACP
• Ramon J Garcia, MD
• Taronia Gardiner

• Professional Counselor in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.