Melinda R. Fulton, LCSW LIC#1683-C AR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1683-C Issued in AR

Practice address

15 E 5TH St
Mountain Home, AR 72653-3809

Phone

(870) 425-2030

Fax

(870) 425-7030

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Ozark Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain Home, AR
  • NPI 1043266315
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1821138314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E 5TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533809",
            "telephone_number": "870-425-2030",
            "fax_number": "870-425-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E 5TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533809",
            "telephone_number": "870-425-2030",
            "fax_number": "870-425-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "MELINDA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW LIC#1683-C AR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1683-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freeman Chiropractic Inc
• Clint Edward Freeman, DC
• Melissa Freeman
• Brittney Woodward Frisby, M.D
• Mary Fry
• Phyllis Jean Gabriel, QBHP
• Jessica Gadberry, MHPP
• Meredith A Gaines, APRN/CNP
• Kaitlyn Marie Gaither, PT, DPT
• Galliant Ar LLC

• Clinical Social Worker in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.