MR. JEFFREY RAY FULKERSON


Address: 1166 E Warner Rd, Suite 203, Gilbert, AZ 85296
Phone: 4803303396

MR. JEFFREY RAY FULKERSON (NPI# 1417457623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417457623
Entity Type Individual
Full Name MR. JEFFREY RAY FULKERSON
Credential M ED, MS, LAC
Practice Address 1166 E Warner Rd
Suite 203
Gilbert
AZ 85296
Practice Telephone 4803303396
Mailing Telephone 4803303396
Mailing Fax Number 4809071471
Enumeration Date 2018-02-14
Last Update Date 2018-02-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1166 E WARNER RD
SUITE 203
City GILBERT
State AZ
Zip Code 85296

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770750697 Alan David Nesbit Social Worker 1166 E Warner Rd, Suite 101-l, Gilbert, AZ 85296-3064 2008-05-09
1750925103 Karin Quinn Counselor 1166 E Warner Rd, Gilbert, AZ 85296-3064 2019-10-29
1669013116 Sarah Anderson Social Worker 1166 E Warner Rd, Gilbert, AZ 85296-3064 2019-10-07
1174979603 The Act of Healing LLC Social Worker 1166 E Warner Rd, Suite 101t, Gilbert, AZ 85296-3064 2016-05-13
1952764128 Spencer Williamson Specialist/Technologist 1166 E Warner Rd, Suite 101, Gilbert, AZ 85296-3064 2016-04-04
1417313842 Backsmith Chiropractic Pa Chiropractor 1166 E Warner Rd, 219, Gilbert, AZ 85296-3064 2016-01-14
1912327628 Sean E Mccoy Sr. Massage Therapist 1166 E Warner Rd, Suite 101, Gilbert, AZ 85296-3064 2014-04-21
1457771164 Veronica Farrow Massage Therapist 1166 E Warner Rd, Suite 101, Gilbert, AZ 85296-3064 2014-04-21
1891043311 East Valley Mental Wellness Pllc Nurse Practitioner 1166 E Warner Rd, Suite 101, Gilbert, AZ 85296-3064 2012-08-15
1821357732 Ann Marie Casey Nurse Practitioner 1166 E Warner Rd, Suite 101, Gilbert, AZ 85296-3064 2012-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124625793 Gilbert Crossroads Kids' Dentists and Orthodontics, LLP Dentist 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 2020-10-06
1306455969 Calm Care Living Community/Behavioral Health 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 2020-07-29
1366080970 Hannah Golladay Behavior Technician 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 2019-12-13
1194284729 Kege Health, LLC Nurse Practitioner 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 2019-03-13
1841757762 Windhorse Counseling Counselor 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 2019-02-27
1417424284 Ashton N Wright Behavior Technician 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 2018-10-30
1346717246 Robison Orthodontics LLC Dentist 1355 S Higley Rd # 105, Gilbert, AZ 85296 2018-10-29
1518441831 Kara Lyn Holyoak Physician Assistant 1359 S. Porter St., Gilbert, AZ 85296 2018-09-21
1225519119 Jennifer Anne Goodman Specialist/Technologist 70 S Val Vista Dr A3, Gilbert, AZ 85296 2018-08-28
1437642329 Greta Shumway Counselor 690 E. Warner Road, #115, Gilbert, AZ 85296 2018-06-14
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225636319 Stride Forward Counseling LLC Counselor 6566 S Oakwood Way, Gilbert, AZ 85298-4068 2020-10-12
1447860721 Jennifer Lynn Vitagliano Counselor 1057 E Kensington Rd, Gilbert, AZ 85297-0023 2020-08-03
1790393197 Joven Health, LLC Counselor 3635 E Larson Ln, Gilbert, AZ 85295-7229 2020-07-21
1083222681 Reve Guillaume-partee Counselor 1166 E Warner Rd Ste 203, Gilbert, AZ 85296-3066 2020-07-20
1659905743 New Legacy Counseling, Az, Pllc Counselor 1206 E Warner Rd Ste 118, Gilbert, AZ 85296-3133 2020-02-27
1871125724 Erica Reveron Counselor 2473 S Higley Rd Ste 104-124, Gilbert, AZ 85295-3020 2020-02-09
1396385514 Kaitlin Larissa Amini Counselor 428 S Gilbert Rd Ste 109, Gilbert, AZ 85296-2262 2020-01-15
1609414531 Cassandra Duffy Counselor 3303 E Baseline Rd Ste 207, Gilbert, AZ 85234-2728 2019-12-10
1427606904 Natalie Staples Counselor 3651 E Baseline Rd Ste E-120, Gilbert, AZ 85234-2689 2019-08-28
1184286908 Megan Leonhardt Heywood Counselor 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 2019-07-01
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Competitor

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City GILBERT
Zip Code 85296

Improve Information

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Dataset Information

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.

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