MR. ANDY LEROY FULTON JR. RAS
NPI 1265864821
Counselor - Addiction (Substance Use Disorder) in Santa Rosa, CA

Q: What is Andy Fulton's NPI number?

The NPI number for Andy Fulton is 1265864821. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Q: What is Andy Fulton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Andy Fulton was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 06, 2013

1901 CLEVELAND AVENUE, #B, SANTA ROSA, CA 95401(707) 576-0818(707) 576-7845 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Andy Leroy Fulton Jr. Ras NPPES

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

MR. ANDY LEROY FULTON JR. RAS (NPI 1265864821) is an individual addiction (substance use disorder) provider in Santa Rosa, California, licensed in California (F1101261615) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1265864821

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. ANDY LEROY FULTON JR.Credential: RAS

Location Address1901 CLEVELAND AVENUE, #BSanta Rosa, CA 95401

Mailing Address1901 Cleveland Avenue #b, Santa Rosa Treatment ProgramSanta Rosa, CA 95401 · (707) 576-0818 · Fax (707) 576-7845

Phone(707) 576-0818

Fax(707) 576-7845

Sole ProprietorNo

Enumeration DateAugust 6, 2013

✔ NPI 1265864821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · F1101261615

Other Providers at the Same Location NPPES 2

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

KELLY GOING LVN

Licensed Vocational Nurse

1901 CLEVELAND AVENUE, #B, SANTA ROSA TREATMENT PROGRAM
SANTA ROSA, CA 95401

Sonoma County (707) 576-0818

ABRAHAM LEWIS CLARK

Counselor (Addiction (Substance Use Disorder))

1901 CLEVELAND AVENUE, #B, SANTA ROSA TREATMENT PROGRAM
SANTA ROSA, CA 95401

Sonoma County (707) 576-0818

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 Andy Fulton's NPI number?

The NPI number for Andy Fulton is 1265864821. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Andy Fulton located?

Andy Fulton practices at 1901 Cleveland Avenue, #b, Santa Rosa, CA 95401. The listed phone number is (707) 576-0818.

What is Andy Fulton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Andy Fulton was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.