Kierra Fulks

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

92322 Issued in TX

Practice address

1408A Stonehollow Dr Ste 300
Kingwood, TX 77339-2275

Phone

(832) 510-4016

NPI assigned

Sep 9, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Experience Life Counseling Services, PLLC

  • Mental Health Counselor
  • Kingwood, TX
  • NPI 1215557681
  Medicare reassignment NPD
• Bubbly ABA LLC

  • Behavior Analyst
  • Katy, TX
  • NPI 1487325999
  NPD (past)

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1811618648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408A STONEHOLLOW DR STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392275",
            "telephone_number": "832-510-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408A STONEHOLLOW DR STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392275",
            "telephone_number": "832-510-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULKS",
        "first_name": "KIERRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92322",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Eduardo Frias, MS
• Brandy Renee Frye Puckett
• FSJ MD, PLLC
• Joyce Wei Fu, R.D.L.D.M.S.
• Cesar Fuentes, PTA
• Kwashia Fuller, LCSW
• Functional Dietetics of Texas, LLC
• Robert Theron Funk II, M.D.
• Christopher S Fyock, PT, DPT
• Erwin Gillego Gabasan, DPT

• Professional Counselor in Kingwood, TX
• Providers in Kingwood, 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 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.