Jeffrey Ray Fulkerson, M ED, MS, LAC, LPC
NPI 1417457623ActiveIndividual· Counselor, Professional· Tempe, AZ
Counselor, Professional (M ED, MS, LAC, LPC) in Tempe, Arizona, licensed in AZ, with an NPI issued in February 2018.
Overview
| NPI | 1417457623 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M ED, MS, LAC, LPC |
| Sole proprietor | No |
| NPI issued | Feb 14, 2018 |
| Last updated in NPPES | Dec 22, 2023 |
| Certified by provider | Dec 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC-21211 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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