Active NPI
Lindsey Fultz, LPC
- Professional Counselor
- Ozark, AR
National Provider Identifier
1861785578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1701221
- Practice address
- 2405 Villa Dr
Ozark, AR 72949-9452 - Phone
- (479) 214-4319
- NPI assigned
- May 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1701221 | AR | Primary |
Addresses
Primary practice location
2405 Villa Dr
Ozark, AR 72949-9452
Mailing address
PO Box 41
Ozark, AR 72949-0041
Phone (479) 214-4319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1701221 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbase Counseling Clinic PLLC | Professional | Current | Accepting new patients |
| United Methodist Behavioral Health System, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Ozark, AR
- NPI 1790678894
-
- Adolescent and Children Mental Health Clinic/Center
- Alma, AR
- NPI 1538307434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1861785578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41",
"city": "OZARK",
"state": "AR",
"postal_code": "729490041",
"telephone_number": "479-214-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 VILLA DR",
"city": "OZARK",
"state": "AR",
"postal_code": "729499452",
"telephone_number": "479-214-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTZ",
"first_name": "LINDSEY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1701221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.