NATHAN JAMES FULLMER LPC
NPI 1093964041
Counselor - Mental Health in Idaho Falls, ID

Active since September 15, 2008
685 1ST ST, IDAHO FALLS, ID 83401(208) 228-7043 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nathan James Fullmer Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN JAMES FULLMER LPC (NPI 1093964041) is an individual mental health provider in Idaho Falls, Idaho, licensed in Idaho (LPC-3902) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1093964041
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNATHAN JAMES FULLMERCredential: LPC
Location Address685 1ST STIdaho Falls, ID 83401-4003
Mailing Address685 1st StIdaho Falls, ID 83401-4003 · (208) 228-7043
Sole ProprietorYes
Enumeration DateSeptember 15, 2008
Last NPPES UpdateJune 8, 2023
NPPES CertifiedJune 8, 2023
NPI 1093964041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · LPC-3902
685 1ST ST, Idaho Falls, ID 83401

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
685 1ST ST
IDAHO FALLS, ID 83401
Case Manager/Care Coordinator
685 1ST ST
IDAHO FALLS, ID 83401
Counselor
685 1ST ST
IDAHO FALLS, ID 83401
Case Manager/Care Coordinator
685 1ST ST
IDAHO FALLS, ID 83401
Community/Behavioral Health
685 1ST ST
IDAHO FALLS, ID 83401
Psychiatry & Neurology (Psychiatry)
685 1ST ST
IDAHO FALLS, ID 83401
Counselor (Mental Health)
685 1ST ST
IDAHO FALLS, ID 83401
Psychiatry & Neurology (Psychiatry)
685 1ST ST
IDAHO FALLS, ID 83401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Fullmer's NPI number?

The NPI number for Nathan Fullmer is 1093964041. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Nathan Fullmer located?

Nathan Fullmer practices at 685 1st St, Idaho Falls, ID 83401. The listed phone number is (208) 228-7043.

What is Nathan Fullmer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nathan Fullmer was last updated on June 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.