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JENNIE REBECCA FULLMER LPC
NPI 1720433600
Counselor - Professional in Twin Falls, ID

Active since April 28, 2016PECOS EnrolledAccepts Medicare Assignment
1363 FILLMORE ST, TWIN FALLS, ID 83301(208) 736-7090(208) 736-7089 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennie Rebecca Fullmer Lpc NPPES

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

JENNIE REBECCA FULLMER LPC (NPI 1720433600) is an individual professional provider in Twin Falls, Idaho, licensed in Idaho (LPC-6127) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720433600
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIE REBECCA FULLMERCredential: LPC
Location Address1363 FILLMORE STTwin Falls, ID 83301-3392
Mailing Address1363 Fillmore StTwin Falls, ID 83301-3392 · (208) 736-7090 · Fax (208) 736-7089
Phone(208) 736-7090
Fax(208) 736-7089
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 28, 2016
✔ NPI 1720433600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LPC-6127
1363 FILLMORE ST, Twin Falls, ID 83301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennie Rebecca Fullmer Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294984407
PECOS Enrollment IDI20240116002831
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KRISTAN NICHOLE FRENCH LCSW
Social Worker (Clinical)
1363 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7090
ERIN WEBB LPC
Counselor (Professional)
1363 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7090
MARK ALLEN GRITTON LCPC
Counselor (Professional)
1363 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7090
DONNA KRAPF NP
Nurse Practitioner (Psychiatric/Mental Health)
1363 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7090
CROSSPOINTE MENTAL HEALTH, LLC
Community/Behavioral Health
1363 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7090
TRACY DELGADO LMSW
Social Worker (Clinical)
1363 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7090
MICHAEL B JURGENSMEIER COUI
Counselor
1363 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7090
MS. MIRIAM JOYCE STAFFEN LPC
Counselor (Professional)
1363 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 736-7090

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 Jennie Fullmer's NPI number?

The NPI number for Jennie Fullmer is 1720433600. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Where is Jennie Fullmer located?

Jennie Fullmer practices at 1363 Fillmore St, Twin Falls, ID 83301. The listed phone number is (208) 736-7090.

What is Jennie Fullmer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennie Fullmer enrolled in Medicare?

Yes. Jennie Fullmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennie Fullmer accept?

Health plans from PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Jennie Fullmer 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 Jennie Fullmer was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.