FULLMER COUNSELING LLC NPI 1275936882

NPI Information

  • NPI: 1275936882
  • Provider Name: FULLMER COUNSELING LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 545 SHOUP AVE
    SUITE 334
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 521-4332

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NPI Details

FULLMER COUNSELING LLC is a mental health (including community mental health center) clinic center in Idaho Falls, ID. FULLMER COUNSELING LLC NPI is 1275936882. The provider is registered as an organization entity type.

The provider's business location address is:

545 SHOUP AVE
SUITE 334
IDAHO FALLS, ID
ZIP 83402-575
Phone: (208) 521-4332

The provider's authorized official is Nathan Fullmer .
The authorized official title is Owner and has the following contact phone number (208) 521-4332.

The enumeration date for this NPI number is 9/27/2014 and was last updated on 9/27/2014.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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