Active NPI
Karen L Fullen, LCSW
- Clinical Social Worker
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1662-C
- Practice address
- 1217 Stone St
Jonesboro, AR 72401-4520 - Phone
- (870) 972-1268
- NPI assigned
- Jul 19, 2006
- Last updated
- Apr 1, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1662-C | AR | Primary |
Addresses
Primary practice location
1217 Stone St
Jonesboro, AR 72401-4520
Mailing address
1217 Stone St
Jonesboro, AR 72401-4520
Phone (870) 972-1268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5W981 | Other | AR | BLUECROSS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Thriveworks Telepsychiatry - Arkansas | Current | Accepting new patients |
Locations
685 Shelby Trl
Ste 105
Conway, AR 72034
Phone (501) 300-9320
4704 W Commercial Dr
Ste A
North Little Rock, AR 72116
Phone (501) 397-1015
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
AR
-
- Mental Health Counselor
- Fayetteville, AR
- NPI 1669130928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1982623609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 STONE ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014520",
"telephone_number": "870-972-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 STONE ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014520",
"telephone_number": "870-972-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLEN",
"first_name": "KAREN",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "1662-C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS PROVIDER NUMBER",
"identifier": "5W981",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.