Stephanie Fultz, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1241 N Main St
Harrisonburg, VA 22802-4632

Phone

(540) 434-1941

NPI assigned

Sep 28, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harrisonburg-Rockingham Community Services BoardGroup PAC ID 1052202884, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Harrisonburg-Rockingham Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrisonburg, VA
  • NPI 1215933817
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1942785613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 N MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024632",
            "telephone_number": "540-434-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 N MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024632",
            "telephone_number": "540-434-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Frye
• Karl Fua, PH.D.
• Elizabeth Fulford, MS, CCC-SLP
• Kristen Fulton-Wright
• Tiffany Renee Fulton, MA, BSW, CSAC
• G & W Ambulance Inc
• G. Brian Reichgott D.D.S. P.C.
• Audie D Gaddis, PHD
• Margareta Gainsback
• Krista Marie Gale, ED.S.

• Professional Counselor in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.