MRS. MELISHA KANISH FULTZ (NPI# 1144668294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144668294 |
| Entity Type | Individual |
| Full Name | MRS. MELISHA KANISH FULTZ |
| Credential | MS. LPC. |
| Practice Address |
1013 E 66th Pl Tulsa OK 74136-3701 |
| Mailing Address |
5109 S Madison Ave Apartment 146 Tulsa OK 74105-5682 |
| Practice Telephone | 9182932500 |
| Practice Fax Number | 9182932581 |
| Mailing Telephone | 9188561915 |
| Mailing Fax Number | 9182932581 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2014-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1013 E 66TH PL |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376860981 | Amber Newton | Counselor | 1013 E 66th Pl, Tulsa, OK 74136-3701 | 2010-04-23 |
| 1497264816 | Melissa Hines | Case Manager/Care Coordinator | 1013 E 66th Pl, Tulsa, OK 74136-3701 | 2017-09-28 |
| 1841630134 | Hjorny Skaftason | Marriage & Family Therapist | 1013 E 66th Pl, Tulsa, OK 74136-3701 | 2013-07-01 |
| 1588932396 | Christina Marie Pizinger | Physician Assistant | 1013 E 66th Pl, Tulsa, OK 74136-3701 | 2011-12-07 |
| 1114202033 | Janet Obrien | Counselor | 1013 E 66th Pl, Tulsa, OK 74136-3701 | 2011-10-12 |
| 1356624647 | Teresa Brown | Social Worker | 1013 E 66th Pl, Tulsa, OK 74136-3701 | 2011-09-22 |
| 1366725855 | Ann R Hurst | Social Worker | 1013 E 66th Pl, Tulsa, OK 74136-3701 | 2011-09-21 |
| 1710275201 | Shadow Mountain Behavioral Health System | Foster Care Agency | 1013 E 66th Pl, Tulsa, OK 74136-3701 | 2011-07-18 |
| 1497048375 | Ryanne Mccook | Counselor | 1013 E 66th Pl, Tulsa, OK 74136-3701 | 2011-05-25 |
| 1013225762 | Crystal Lee Downs | Counselor | 1013 E 66th Pl, Tulsa, OK 74136-3701 | 2010-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
| 1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
| 1053932905 | Suzanne Schneider | Counselor | 1507 E 21st St, Tulsa, OK 74114-1339 | 2020-05-01 |
| 1396371167 | Amy Lynn Herrold | Counselor | 8211 E Regal Pl, Tulsa, OK 74133-7167 | 2020-03-12 |
| 1033758453 | Anew Dawn Counseling Services LLC | Counselor | 2227 S Garnett Rd Ste 106, Tulsa, OK 74129-5115 | 2020-01-02 |
| 1679111231 | Shandeisha N Hay | Counselor | 6131 S Yorktown Ave Apt 1, Tulsa, OK 74136-0936 | 2019-12-13 |
| 1699320119 | Grace Oluloto | Counselor | 2740 E 41st St N, Tulsa, OK 74110-1432 | 2019-08-02 |
| 1467005900 | Courtney Gillespie | Counselor | 8810 S Yale Ave Ste K, Tulsa, OK 74137-3551 | 2019-07-23 |
| 1922660661 | Katherine Marie Nash | Counselor | 5072 S Toledo Ave Apt 23c, Tulsa, OK 74135-3350 | 2019-07-02 |
| 1205493590 | Wright Choice Counseling Services, LLC | Counselor | 6130 E 32nd St Ste 106, Tulsa, OK 74135-5454 | 2019-05-22 |
| Find all providers in TULSA | ||||
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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.