FULCRUM COUNSELING SERVICES LLC NPI 1215402151

NPI Information

NPI: 1215402151
Provider Name: FULCRUM COUNSELING SERVICES, LLC
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
Doing Business As: SAMUEL CROUCH
Address: 115 W RAILWAY ST STE A102
SCOTTSBLUFF, NE
ZIP 69361
Phone: (308) 225-0500

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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	53611285605	MEDICAID	NEBRASKA
2	10026769300	MEDICAID	NEBRASKA

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: 11/21/2025

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