EMERICK FULTON NPI 1750130571

NPI Information

  • NPI: 1750130571
  • Provider Name: EMERICK FULTON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 719 W LAKE AVE
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 408-1493

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NPI Details

Emerick Fulton is a mental health counselor in Peoria, IL with 2 years of experience. Emerick Fulton NPI is 1750130571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

719 W LAKE AVE
PEORIA, IL
ZIP 61614-941
Phone: (309) 408-1493

The NPI 1750130571 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/14/2024 and was last updated on 5/14/2024.

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
1101YM0800XCounselorMental HealthYes

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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