IndividualActive
Ken Fullerton
NPI 1790141521 · Counselor · Provo, UT
Ken Fullerton is a Counselor provider in Provo, UT (NPI 1790141521).
Provider details
- NPI number
- 1790141521
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
900 Columbia Ln
Provo, UT 84604-1320
Phone: (801) 375-4240
Street-level locationGet directions
Mailing address
619 N 500 W
Provo, UT 84601-1547
Registry dates
- Enumerated
- 2016-01-08
- Last updated
- 2016-01-08
Frequently asked questions
- What is Ken Fullerton's NPI number?
- Ken Fullerton's National Provider Identifier (NPI) is 1790141521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ken Fullerton's specialty?
- Ken Fullerton is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Ken Fullerton located?
- Ken Fullerton's practice location on file with NPPES is 900 Columbia Ln, Provo, UT 84604-1320.
- What is Ken Fullerton's phone number?
- The practice phone number listed in the NPPES registry for Ken Fullerton is (801) 375-4240.
- Is Ken Fullerton's NPI active?
- Yes — Ken Fullerton's NPI (1790141521) is active in the NPPES registry as of the last update on 2016-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.