KRYSTIN JHEREL FULLWOOD
NPI 1629505599
Counselor - Mental Health in Summerfield, NC

Q: What is Krystin Fullwood's NPI number?

The NPI number for Krystin Fullwood is 1629505599. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Q: What is Krystin Fullwood's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Krystin Fullwood was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 22, 2017

6633 ALLEY RD, SUMMERFIELD, NC 27358(336) 280-9976 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2023, Sep 28, 2021, May 22, 2017 (3 updates tracked since 2017).

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About Krystin Jherel Fullwood NPPES

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

KRYSTIN JHEREL FULLWOOD (NPI 1629505599) is an individual mental health provider in Summerfield, North Carolina, licensed in North Carolina (A19108) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1629505599

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKRYSTIN JHEREL FULLWOOD

Location Address6633 ALLEY RDSummerfield, NC 27358-9203

Mailing Address6633 Alley RdSummerfield, NC 27358-9203 · (336) 280-9976

Phone(336) 280-9976

Sole ProprietorNo

Enumeration DateMay 22, 2017

Last NPPES UpdateSeptember 20, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2023

✔ NPI 1629505599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · A19108

Also ListedBehavior TechnicianTaxonomy 106S00000X

6633 ALLEY RD, Summerfield, NC 27358

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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 Krystin Fullwood's NPI number?

The NPI number for Krystin Fullwood is 1629505599. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Krystin Fullwood located?

Krystin Fullwood practices at 6633 Alley Rd, Summerfield, NC 27358. The listed phone number is (336) 280-9976.

What is Krystin Fullwood's specialty?

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

What insurance does Krystin Fullwood accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Krystin Fullwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krystin Fullwood was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.