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JEFFREY FULTZ
NPI 1396398632
Peer Specialist in Louisa, KY

Active since July 16, 2019
125 S MAIN CROSS ST, LOUISA, KY 41230(606) 638-0938 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey Fultz NPPES

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

JEFFREY FULTZ (NPI 1396398632) is an individual peer specialist in Louisa, Kentucky and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1396398632
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJEFFREY FULTZ
Location Address125 S MAIN CROSS STLouisa, KY 41230-1065
Mailing AddressPo Box 726Louisa, KY 41230-0726
Phone(606) 638-0938
Sole ProprietorYes
Enumeration DateJuly 16, 2019
✔ NPI 1396398632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

125 S MAIN CROSS ST, Louisa, KY 41230
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Other Providers at the Same Location NPPES 20

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

LOIS MICHELLE HUBBARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
CHARLOTTE WILLIAMSON LPCA
Counselor (Professional)
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
JOHN W. RILEY CADC
Counselor (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
RICHARD SKEENS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
SHERRY DIANNE BIBBS JOHNSON RN
Registered Nurse (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 639-0938
KEITH JONES
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
BOBBY LEE HILL PSS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
MELISSA MAYNARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938

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 Jeffrey Fultz's NPI number?

The NPI number for Jeffrey Fultz is 1396398632. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Jeffrey Fultz located?

Jeffrey Fultz practices at 125 S Main Cross St, Louisa, KY 41230. The listed phone number is (606) 638-0938.

What is Jeffrey Fultz's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Fultz was last updated on July 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.