Jana Claire Fulmer, MSC, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6053262-6004 Issued in UT

Practice address

447 Bearcat Dr
Salt Lake City, UT 84115-2519

Phone

(801) 355-2846

Fax

(801) 359-3244

NPI assigned

Nov 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amethyst Center for Healing

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1194198010

  Mental Health

  NPD Authorized official
• Amethyst Center for Healing

  • Counselor
  • Salt Lake City, UT
  • NPI 1699139568
  NPD
• Volunteers of America

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1598192338
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1699077461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARKVIEW DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985144",
            "telephone_number": "801-355-2846",
            "fax_number": "801-359-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 BEARCAT DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152519",
            "telephone_number": "801-355-2846",
            "fax_number": "801-359-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "JANA",
        "middle_name": "CLAIRE",
        "credential": "MSC, CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "6053262-6009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6053262-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Fullmer
• Jace Paul Fullmer, D.O.
• Jordan Tara Jaylene Fullmer
• Kent Fullmer
• Fully Integrative
• Ben E Fulton, MD
• John B Fulton, PHD
• Krysten Fulton
• Sarah Fulton
• Skylar Fulton

• All providers in Salt Lake City, UT
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.