IndividualActive
Jimmy Fuller, MA, LPC
NPI 1336464635 · Counselor · Okmulgee, OK
Jimmy Fuller, MA, LPC is a Counselor provider in Okmulgee, OK (NPI 1336464635).
Provider details
- NPI number
- 1336464635
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1950 N Okmulgee
Okmulgee, OK 74447-6534
Phone: (918) 756-7700
Fax: (918) 756-3347
Street-level locationGet directions
Mailing address
1950 N Okmulgee
Okmulgee, OK 74447-6534
Registry dates
- Enumerated
- 2010-03-30
- Last updated
- 2016-02-26
Frequently asked questions
- What is Jimmy Fuller's NPI number?
- Jimmy Fuller's National Provider Identifier (NPI) is 1336464635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Fuller's specialty?
- Jimmy Fuller is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jimmy Fuller located?
- Jimmy Fuller's practice location on file with NPPES is 1950 N Okmulgee, Okmulgee, OK 74447-6534.
- What is Jimmy Fuller's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Fuller is (918) 756-7700.
- Is Jimmy Fuller's NPI active?
- Yes — Jimmy Fuller's NPI (1336464635) is active in the NPPES registry as of the last update on 2016-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.