NPIMap

Organization Active NPI

Fulleton Counseling

  • Professional Counselor
  • Fruitland, ID
National Provider Identifier
1982469722
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FULLETON COUNSELING
Practice address
100 S Idaho Ave
Fruitland, ID 83619
Phone
(541) 249-5111
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Mrs. Alia Fulleton, LPCNPI 1265136667
Title
Owner
Phone
(541) 249-5111

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

100 S Idaho Ave
Fruitland, ID 83619

Mailing address

PO Box 836
Ontario, OR 97914-0836
Phone (541) 249-5111

Other names 1

  • Alia Bonnie Fulleton Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1982469722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979140836",
            "telephone_number": "541-249-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S IDAHO AVE",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "83619",
            "telephone_number": "541-249-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLETON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "FULLETON",
        "authorized_official_first_name": "ALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-249-5111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alia Bonnie Fulleton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fruitland, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.