STACEY D FULMER (NPI# 1104295260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104295260 |
| Entity Type | Individual |
| Full Name | STACEY D FULMER |
| Practice Address |
793 Old Route 119 Hwy N. Indiana PA 15701-1372 |
| Practice Telephone | 7244655576 |
| Practice Fax Number | 7244656379 |
| Mailing Telephone | 7244655576 |
| Mailing Fax Number | 7244656379 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
793 OLD ROUTE 119 HWY N. |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780075267 | Rebecca Ann Friedline | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701 | 2015-02-05 |
| 1972952885 | Samantha Paige Shilling | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2016-06-10 |
| 1376990119 | Lynne A Campbell | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2016-05-23 |
| 1811344922 | Erik Sean Messinger | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2016-05-18 |
| 1689045189 | Stephanie Grace Ruth | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2015-10-12 |
| 1609246305 | Deanna Catherine Rezk | Nurse Practitioner | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2015-10-07 |
| 1205206141 | Allison L Edmisten | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2015-10-05 |
| 1386013449 | Ryan Joseph Delaney | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2015-09-18 |
| 1750764700 | Gabrielle Padilla | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701 | 2015-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1881045672 | Ashley Rose Smith | Counselor | 793 Old Route 119 Hwy N3, Indiana, PA 15701-1372 | 2016-06-23 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1164892097 | Melissa Marie Johnson | Counselor | 793 Old Route 119 Hwy. N., Indiana, PA 15701-1372 | 2015-10-05 |
| 1174993000 | Tarah L. Stewart | Counselor | 793 Old Route 119 Highway N., Indiana, PA 15701-1372 | 2015-10-05 |
| 1821467994 | Eric James Steininger | Counselor | 793 Old Route 119 Highway N, Indiana, PA 15701-1372 | 2015-09-18 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| 1265827695 | Jennifer Diane Keough | Counselor | 793 Old Rt 119 Hwy N., Indiana, PA 15701 | 2015-04-02 |
| 1780075267 | Rebecca Ann Friedline | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701 | 2015-02-05 |
| 1205226818 | Alexandra Major | Counselor | 793 Old Route 119 Hwy North, Indiana, PA 15701 | 2015-02-03 |
| Find all providers in INDIANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.