LUCAS JONATHAN FULTZ (NPI# 1831742527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831742527 |
| Entity Type | Individual |
| Full Name | LUCAS JONATHAN FULTZ |
| Practice Address |
1737 S Naperville Rd Ste 200 Wheaton IL 60189-5894 |
| Mailing Address |
120 E Ogden Ave Ste 220 Hinsdale IL 60521-3546 |
| Practice Telephone | 6306539700 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 E Ogden Ave Ste 220, Hinsdale, IL 605213546 | 6303255300 |
| Street Address |
1737 S NAPERVILLE RD STE 200 |
| City | WHEATON |
| State | IL |
| Zip Code | 60189-5894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508395336 | Stefana-ioana Racorean | Marriage & Family Therapist | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2017-06-06 |
| 1912525411 | Peter Edward Bolin Gibson | Student in an Organized Health Care Education/Training Program | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2020-07-10 |
| 1700404399 | Thomas Lynch Pierick | Student in an Organized Health Care Education/Training Program | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2020-07-09 |
| 1346868932 | Blake Amanda Klinsky | Student in an Organized Health Care Education/Training Program | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2020-07-09 |
| 1013565001 | Nancy Duarte-gomez | Counselor | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2019-09-03 |
| 1275188070 | David Ferguson | Psychologist | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2019-08-08 |
| 1780236075 | Brittany Gibson | Psychologist | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2019-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633476 | Elizabeth Marie Donisch | Dietitian, Registered | 1288 Salford Ct., Wheaton, IL 60189 | 2018-09-15 |
| 1144716457 | Rangsons Healthcare, LLC | Psychiatry & Neurology | 1737 S Naperville Rd Ste 203, Wheaton, IL 60189 | 2018-07-10 |
| 1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
| 1700300969 | Caroline Bartholomew | Speech-Language Pathologist | 15 Venetian Way, Wheaton, IL 60189 | 2017-07-31 |
| 1164951521 | Celinne Mencias | Nurse Practitioner | 1489 S. Prospect St., Wheaton, IL 60189 | 2017-06-08 |
| 1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
| 1821491937 | West Suburban Endodontics LLC | Dentist | 1749 S Naperville Road, Suite 100, Wheaton, IL 60189 | 2014-10-02 |
| 1467855841 | Veronika Vlasov | Chiropractor | 1445 S. Lorraine Rd. #211, Wheaton, IL 60189 | 2014-09-30 |
| 1053754242 | Donald Jeffery Ebalo | Internal Medicine | 25 W 740 Red Maple Lane, Wheaton, IL 60189 | 2013-04-08 |
| 1841532694 | Inclusive Assistance Corp | Nursing Care | 2s680 Cree Lane, Wheaton, IL 60189 | 2013-03-20 |
| Find all providers in zip 60189 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831681600 | Evergreen Counseling LLC | Marriage & Family Therapist | 2100 Manchester Rd Ste 602, Wheaton, IL 60187-4587 | 2018-06-06 |
| 1508395336 | Stefana-ioana Racorean | Marriage & Family Therapist | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2017-06-06 |
| 1851709257 | Emily Jean Zeller | Marriage & Family Therapist | 1105 Casa Solana Dr, Wheaton, IL 60189-8213 | 2014-07-29 |
| 1669731006 | Kathryn Asha Thumme & Associates LLC | Marriage & Family Therapist | 1312 Colonial Sq, Wheaton, IL 60189-8116 | 2012-05-04 |
| 1346523891 | Frances Jayne White | Marriage & Family Therapist | 140 Windsor Park Dr., E320, Wheaton, IL 60188-4107 | 2011-09-21 |
| 1861516619 | John Goll | Marriage & Family Therapist | 2100 Manchester Rd Ste 400-a, Wheaton, IL 60187-4579 | 2007-03-19 |
| 1972659944 | Raymond J Redelman | Marriage & Family Therapist | 200 E Willow, Suite 101, Wheaton, IL 60187-9998 | 2007-01-25 |
| 1346857638 | Jeremy Barkev Tovmassian | Marriage & Family Therapist | 2100 Manchester Rd Ste 602, Wheaton, IL 60187-4587 | 2020-09-30 |
| 1225686660 | Brigette Maria Joch | Marriage & Family Therapist | 600 W Roosevelt Rd Ste A2, Wheaton, IL 60187-2301 | 2019-08-28 |
| 1881248011 | Erin Gayton | Marriage & Family Therapist | 1737 S Naperville Rd Ste 206, Wheaton, IL 60189-5894 | 2019-07-25 |
| Find all providers in WHEATON | ||||
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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.