Organization Active NPI

Seeds of Hope Counseling, PLLC

  • Clinical Social Worker
  • Martin, TN
National Provider Identifier
1831662832
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SEEDS OF HOPE COUNSELING, PLLC
Practice address
215 Hawks Rd Ste 12a
Martin, TN 38237-2708
Phone
(731) 281-8070
Fax
(731) 284-0533
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Mrs. Carolyn Diana Fulcher, LCSWNPI 1033407218
Title
LCSW/Owner
Phone
(423) 519-2224

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

215 Hawks Rd Ste 12a
Martin, TN 38237-2708

Mailing address

212 Hawks Road
Suite 12 a
Martin, TN 38237-2165
Phone (731) 281-8070

Other practice location 1

110 S College St Ste 103
Trenton, TN 38382-1892
Phone (731) 284-0432

Other identifiers 1

IdentifierTypeStateIssuer
Q046634MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190321000086 TN Part B Supplier - Clinic/Group Practice 4385984731 Receives reassigned benefits from 2 practitioners
Practice locations: Martin, TN; Trenton, TN

National Provider Directory

National Provider Directory

Locations

212 Hawks Rd
Ste 12
Martin, TN 38237

212 Hawks Rd
Ste 12 a
Martin, TN 38237

215 Hawks Rd
Ste 12A
Martin, TN 38237
Phone (731) 281-8070

300 N McCombs St
Ste 1
Martin, TN 38237
Phone (731) 587-4438

110 S College St
Ste 103
Trenton, TN 38382
Phone (731) 281-8070

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1831662832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HAWKS ROAD",
            "address_2": "SUITE 12 A",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372165",
            "telephone_number": "731-281-8070",
            "fax_number": "731-284-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HAWKS RD STE 12A",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372708",
            "telephone_number": "731-281-8070",
            "fax_number": "731-284-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S College St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "TN",
            "postal_code": "383821892",
            "country_code": "US",
            "telephone_number": "731-284-0432",
            "fax_number": "731-284-0533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEEDS OF HOPE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "FULCHER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "423-519-2224",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q046634",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.