MR. KENNETH C FULTON-RESIG (NPI# 1255824314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255824314 |
| Entity Type | Individual |
| Full Name | MR. KENNETH C FULTON-RESIG |
| Other Name | KENNETH C RESIG |
| Credential | MS,LPC,LBS,NCC |
| Practice Address |
4772 Main Street Whitehall PA 18052 |
| Mailing Address |
4772 Main St Whitehall PA 18052-1929 |
| Practice Telephone | 4124456050 |
| Mailing Telephone | 4124456050 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P0010478 | Behavioral Health & Social Service Providers |
| Street Address |
4772 MAIN STREET |
| City | WHITEHALL |
| State | PA |
| Zip Code | 18052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228870 | Alexandra Podlesny | Family Medicine | 1401 Fairmount St, Whitehall, PA 18052 | 2020-06-05 |
| 1346894805 | Christopher Guidon | Physician Assistant | 2402 Macarthur Rd., Whitehall, PA 18052 | 2019-08-01 |
| 1023505294 | St. Luke's Physician Group, Inc. | Internal Medicine | 2416 3rd Avenue, Whitehall, PA 18052 | 2018-04-13 |
| 1831617869 | Veronica Taylor | Specialist | 4150 Red Bud Dr W, Whitehall, PA 18052 | 2017-08-30 |
| 1467800466 | Princy Ann Koshy | Family Medicine | 3691 Crescent Ct E Ste 201, Whitehall, PA 18052 | 2016-05-31 |
| 1649642612 | Renae N Defreitas | Nurse Practitioner | 2402 Macarthur Rd, Whitehall, PA 18052 | 2015-10-29 |
| 1063718856 | Christy Lynn Kroboth | Registered Nurse | 3000 Fellowship Drive, Whitehall, PA 18052 | 2011-01-27 |
| 1003134818 | Bruce C Trout | Pharmacist | 3671 Crescent Ct E., Whitehall, PA 18052 | 2010-05-04 |
| 1982921359 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Lehigh Valley Mall, Whitehall, PA 18052 | 2010-04-26 |
| 1952578726 | Lehigh Valley Denture Center | Dentist | 1335 Albert Street, Whitehall, PA 18052 | 2008-05-12 |
| Find all providers in zip 18052 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043865173 | Shieniece T Potter | Counselor | 4721 Olde Colony Way, Whitehall, OH 43213-4037 | 2019-08-06 |
| 1285026542 | Nicole Anne Polzer-grieco | Counselor | 3022 S 5th Ave, Whitehall, PA 18052-2806 | 2015-02-24 |
| 1841443652 | Katherine Ann Oneill | Counselor | 105 N Whitehall St, Altacare, Whitehall, MT 59759-7713 | 2008-10-24 |
| 1093370793 | Justin W Hettinger | Counselor | 4653 E Main St, Whitehall, OH 43213-3298 | 2019-05-08 |
| 1174048995 | Cornerstone Counseling and Consultation Services | Counselor | 516 E Colby St, Whitehall, MI 49461-1113 | 2017-08-14 |
| 1144458613 | Kathy Craymer | Counselor | 116 W Colby St, Whitehall, MI 49461-1083 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
| 1447850938 | Transformative Coaching and Counseling, LLC | Counselor | 1704 Marilyn Dr, Havertown, PA 19083-1220 | 2020-10-26 |
| 1528667110 | Sahra B Riccardi | Counselor | 25 S Main St Ste 6503, Yardley, PA 19067-1527 | 2020-10-23 |
| 1902405871 | Erin C Williams | Counselor | 137 Montgomery Ave Ste 105, Boyertown, PA 19512-1300 | 2020-10-21 |
| 1255930392 | The Therapy Space LLC | Counselor | 1084 E Lancaster Ave Ste 301, Bryn Mawr, PA 19010-1515 | 2020-10-20 |
| 1619576022 | Christine Cremonni | Counselor | 451 Wayne Ave, Springfield, PA 19064-2618 | 2020-10-19 |
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1992303846 | Colette L Bone | Counselor | 919 Godfrey Rd, Lake City, PA 16423-2110 | 2020-10-13 |
| 1245838184 | Ina Morris-robinson | Counselor | 3000 Valley Forge Cir Apt 653, King of Prussia, PA 19406-1146 | 2020-10-13 |
| 1215535596 | Christine E Vincent | Counselor | 2714 Hazel Ave, Glenside, PA 19038-2409 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
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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.