JAQUELINE FULTZ (NPI# 1932726924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932726924 |
| Entity Type | Individual |
| Full Name | JAQUELINE FULTZ |
| Practice Address |
2525 Tiller Ln Ste 110 Columbus OH 43231-2267 |
| Practice Telephone | 6143055151 |
| Practice Fax Number | 6142835084 |
| Mailing Telephone | 6143055151 |
| Mailing Fax Number | 6142835084 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678422 | Jaqueline Fultz | Technician | 10 Nona St, Buckhannon, WV 26201-2747 | 2020-08-05 |
| Street Address |
2525 TILLER LN STE 110 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43231-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821587031 | Tiana Johnson | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2018-05-02 |
| 1851990147 | Noel Davis | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-10-19 |
| 1669071957 | Ivan Stewart | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-10-19 |
| 1184221343 | Damila Dawson | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-10-01 |
| 1558978486 | Charles Stearns | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-09-24 |
| 1104431782 | Christina Burns | Social Worker | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-09-10 |
| 1922613504 | Kylah Sharpe | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-09-10 |
| 1407468614 | Marquetta Hill | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-08-19 |
| 1669099651 | Julie Fultz | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-06-25 |
| 1073134722 | Wanda Chambers | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495934 | Meghan Craig | Counselor | 3600 Oakstone Drive, Columbus, OH 43231 | 2020-07-23 |
| 1487147450 | Kelley Penny | Counselor | 5925 Cleveland Ave., Suite B, Columbus, OH 43231 | 2018-06-13 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| 1184113961 | Leslie Clark-felder | Community/Behavioral Health | 2525 Tiller Lane Ste110, Columbus, OH 43231 | 2018-05-07 |
| 1619466893 | Michael Henry II | Community/Behavioral Health | 2525 Tiller Lane Ste 110, Columbus, OH 43231 | 2018-05-03 |
| 1578051983 | Rhonda Clark | Community/Behavioral Health | 2525 Tiller Lane Lane Ste 110, Columbus, OH 43231 | 2018-05-01 |
| 1053819003 | Best Sunshine Transportation | Non-emergency Medical Transport (VAN) | 3434 Bufford Ct, Columbus, OH 43231 | 2018-01-24 |
| 1598275927 | Katherine Elaine Prater | Counselor | 5925 Cleveland Ave Ste B, Columbus, OH 43231 | 2017-10-12 |
| 1386164259 | Sento None Jah | Licensed Practical Nurse | 3088 Prosperity Lane, Columbus, OH 43231 | 2017-06-22 |
| 1528596749 | Yolanda Lawrence | Licensed Practical Nurse | 2916 Kilbourne Ave, Columbus, OH 43231 | 2017-06-01 |
| Find all providers in zip 43231 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1336753466 | Push for Recovery, LLC | Community/Behavioral Health | 3880 Clime Road, Building 2/suite A, Columbus, OH 43228-3532 | 2020-09-05 |
| 1518576693 | Unit Seven LLC | Community/Behavioral Health | 1743 Lonsdale Rd Apt C, Columbus, OH 43232-2892 | 2020-07-24 |
| 1508481037 | Basecamp Recovery LLC | Community/Behavioral Health | 815 W Broad St Fl 2, Columbus, OH 43222-1464 | 2020-06-10 |
| 1760003420 | Community Alliance for Youth and Adults LLC | Community/Behavioral Health | 2550 Chestnut Oak Way, Columbus, OH 43228-9169 | 2020-05-04 |
| 1659834489 | Transcendent Case Management & Consulting, LLC | Community/Behavioral Health | 3587 Medina Ave, Columbus, OH 43224-3418 | 2019-04-09 |
| 1639634629 | Mind Over Matter Counseling | Community/Behavioral Health | 92 Northwoods Blvd Ste C1, Columbus, OH 43235-4720 | 2019-02-05 |
| 1902360225 | Kara Lynn Mccoy | Community/Behavioral Health | 4289 Highway 78, Columbus, MT 59019-7493 | 2019-01-31 |
| 1891278321 | Everlasting Peace Counseling and Support Services | Community/Behavioral Health | 2210 Wynnton Rd Ste 206, Columbus, GA 31906-5820 | 2018-09-11 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| Find all providers in COLUMBUS | ||||
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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.