NPIMap

Organization Active NPI

Kondra Fulmer Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Clinton, MD
National Provider Identifier
1720795958
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KONDRA FULMER COUNSELING, LLC
Practice address
12802 Piscataway Landing Dr
Clinton, MD 20735-4591
Phone
(301) 332-1498
NPI assigned
Oct 27, 2022
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Ms. Kondra M FulmerNPI 1659304384
Title
Owner
Phone
(301) 332-1498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

12802 Piscataway Landing Dr
Clinton, MD 20735-4591

Mailing address

12802 Piscataway Landing Dr
Clinton, MD 20735-4591
Phone (301) 332-1498

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1720795958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 PISCATAWAY LANDING DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354591",
            "telephone_number": "301-332-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 PISCATAWAY LANDING DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354591",
            "telephone_number": "301-332-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONDRA FULMER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "KONDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-332-1498",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.