Melissa Suzanne Fulton, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16797 Issued in FL

Practice address

65 3Rd St NW Ste 201
Winter Haven, FL 33881-4638

Phone

(863) 293-1744

NPI assigned

Apr 6, 2019

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

State licenses

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.

• Family Learning Solutions, LLC

  • Mental Health Counselor
  • Winter Haven, FL
  • NPI 1801176011
  NPD (past)

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554508800000",
    "number": "1831651959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 MADINA CIR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378865",
            "telephone_number": "407-301-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 3RD ST NW STE 201",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814638",
            "telephone_number": "863-293-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "MELISSA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-06",
        "last_updated": "2019-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Fritzke
• From Pieces to Peace,LLC
• FST Behavioral
• James Ray Fuentes, APRN
• Lauren Nicole Fuller, APRN
• Jennifer Efua Amoa Fynn, M.D.
• Nicholas Gable, DMD
• Carlos I Gabriel, M.D.
• Luchen Gabriel, OWNER
• Sam Gabriel

• Mental Health Counselor in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2019; 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.