FULLMER COUNSELING LLC (NPI# 1275936882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275936882 |
| Entity Type | Organization |
| Organization Name | FULLMER COUNSELING LLC |
| Practice Address |
545 Shoup Ave Suite 334 Idaho Falls ID 83402-3575 |
| Practice Telephone | 2085214332 |
| Mailing Telephone | 2085214332 |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2014-09-27 |
| Authorized Official Name | MR. NATHAN FULLMER (OWNER) |
| Authorized Official Telephone | 2085214332 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
545 SHOUP AVE SUITE 334 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-3575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265644272 | Above and Beyond Counseling & Psr, LLC | Community/Behavioral Health | 545 Shoup Ave, Suite #321, Idaho Falls, ID 83402-3575 | 2007-05-03 |
| 1013398064 | Steven Orme | Counselor | 545 Shoup Ave, Idaho Falls, ID 83402-3575 | 2015-06-16 |
| 1093112120 | Cherity Woolf | Social Worker | 545 Shoup Ave, Idaho Falls, ID 83402-3575 | 2014-12-04 |
| 1891909529 | Beehive Rehabilitation and Counseling, Pa | Clinic/Center | 545 Shoup Ave, Suite 105b, Idaho Falls, ID 83402-3575 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273637 | Answers, LLC - Cbrs | Clinic/Center | 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 | 2020-04-08 |
| 1649808767 | Psychological Preventative Health Pllc | Clinic/Center | 4831 Greystone Ln, Idaho Falls, ID 83404-8338 | 2020-04-01 |
| 1629615406 | Building A Life Worth Living, LLC | Clinic/Center | 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 | 2019-11-29 |
| 1053732263 | A To Z Family Services | Clinic/Center | 380 N Capital Ave, Idaho Falls, ID 83402-3633 | 2013-12-16 |
| 1063760452 | Esperanza Mental Health | Clinic/Center | 692 Evans Dr, Idaho Falls, ID 83402-5026 | 2012-08-16 |
| 1508124967 | Starr and Cody Counseling, LLC | Clinic/Center | 1820 E 17th St Ste 230, Idaho Falls, ID 83404-6521 | 2012-04-23 |
| 1861765620 | Lean On Me, Inc. | Clinic/Center | 150 N Woodruff Ave, Idaho Falls, ID 83401-4335 | 2012-02-09 |
| 1235352675 | Access Point Family Services Inc. | Clinic/Center | 2680 Channing Way, Idaho Falls, ID 83404-7517 | 2007-04-11 |
| 1275669152 | Idaho Dept of Health & Welfare Region 7 Amh Psr If | Clinic/Center | 150 Shoup Ave, Suite 17, Idaho Falls, ID 83402-3657 | 2007-02-26 |
| 1477172435 | Answers, LLC - Case Management | Clinic/Center | 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 | 2020-04-10 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
Please comment or provide details below to improve the information on FULLMER COUNSELING LLC.
| 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.