Jeffrey Fulkerson, M ED, MS, LAC, LPC
NPI 1417457623 · Professional Counselor · Tempe, AZ
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Fulkerson, M ED, MS, LAC, LPC is a Professional Counselor provider in Tempe, AZ (NPI 1417457623).
Provider details
- NPI number
- 1417457623
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M ED, MS, LAC, LPC
- Sex
- Male
- Sole proprietor
- No
- License
- LPC-21211 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2018-02-14
- Last updated
- 2023-12-22
- Certified
- 2023-12-22
Frequently asked questions
- What is Jeffrey Fulkerson's NPI number?
- Jeffrey Fulkerson's National Provider Identifier (NPI) is 1417457623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Fulkerson's specialty?
- Jeffrey Fulkerson is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jeffrey Fulkerson located?
- Jeffrey Fulkerson's practice location on file with NPPES is 3920 S Rural Rd Ste 112, Tempe, AZ 85282-5500.
- What is Jeffrey Fulkerson's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Fulkerson is (480) 428-2944.
- Does Jeffrey Fulkerson accept Medicare?
- Jeffrey Fulkerson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Fulkerson's NPI active?
- Yes — Jeffrey Fulkerson's NPI (1417457623) is active in the NPPES registry as of the last update on 2023-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.