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FULCRUM COUNSELING SERVICES LLC NPI 1215402151


NPI Information

NPI: 1215402151
Provider Name: FULCRUM COUNSELING SERVICES, LLC

Doing Business As: SAMUEL CROUCH

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
115 W RAILWAY ST STE A102
SCOTTSBLUFF, NE
ZIP 69361
Phone: (308) 225-0500
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FULCRUM COUNSELING SERVICES, LLC is a mental health counselor in Scottsbluff, NE. FULCRUM COUNSELING SERVICES, LLC NPI is 1215402151. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samuel Crouch.

The provider's business location address is:

115 W RAILWAY ST STE A102
SCOTTSBLUFF, NE
ZIP 69361-180
Phone: (308) 225-0500
Fax: (308) 365-6848

The provider's authorized official is Samuel Crouch .
The authorized official title is Owner and has the following contact phone number (308) 225-0500.

The enumeration date for this NPI number is 10/8/2018 and was last updated on 1/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
153611285605MEDICAIDNEBRASKA
210026769300MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.