Full Circle Integrative Healing

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FULL CIRCLE INTEGRATIVE HEALING

Practice address

231 Breckenridge LN Ste 201
Louisville, KY 40207-3871

Phone

(502) 200-9836

Fax

(502) 237-9072

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie J Clemmons, M.EDNPI 1093051229

Title

Counselor

Phone

(502) 291-4094

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Jo Clemmons, MED, LPCC, LPAT, ATR

  • Professional Counselor
  • Louisville, KY
  • NPI 1093051229
  NPD Authorized official
• Jennifer Susan Castellano, OTR/L

  • Occupational Therapist
  • Louisville, KY
  • NPI 1598915837
  NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1760264675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 PIATT PL UNIT 207",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402236151",
            "telephone_number": "502-291-4094",
            "fax_number": "502-237-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 BRECKENRIDGE LN STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073871",
            "telephone_number": "502-200-9836",
            "fax_number": "502-237-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE INTEGRATIVE HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "CLEMMONS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "502-291-4094",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100958930",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100323780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Michael Fulkerson, APRN
• Patricia Link Fulkerson, LCSW
• Tara Fulkerson
• Katelyn Lacy Fulks
• Sarah S Fulks, MD
• Full Range Early Intervention Services LLC
• Teea R Fullen-Barnes, LPCA, LAT, ATC
• Madison Eubanks Fullen, PT DPT
• Fuller Rehabilitation and Consulting Services Inc.
• Alanah Fuller

• Professional Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.